Samarth Shivakumar Mathapathi, MD in Portland, OR

Samarth Shivakumar Mathapathi, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Portland, Oregon. His current practice location is 5050 Ne Hoyt St Ste 155, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-6819.

Samarth Shivakumar Mathapathi is licensed to practice in Oregon (license number MD203918) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639668767.

Contact Information

	Samarth Shivakumar Mathapathi, MD
	5050 Ne Hoyt St Ste 155, Portland, OR 97213-2956
	(503) 215-6819
	Not Available

Map and Direction

Physician's Profile

Full Name	Samarth Shivakumar Mathapathi
Gender	Male
Speciality	Internal Medicine - Rheumatology
Location	5050 Ne Hoyt St Ste 155, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639668767
Provider Enumeration Date: 05/03/2018
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6103246533
Enrollment ID: I20230804002011

Medical Identifiers

Medical identifiers for Samarth Shivakumar Mathapathi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639668767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	MD203918 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samarth Shivakumar Mathapathi allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

Entity Name	Providence Health & Services - Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samarth Shivakumar Mathapathi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samarth Shivakumar Mathapathi, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	Samarth Shivakumar Mathapathi, MD 5050 Ne Hoyt St Ste 155, Portland, OR 97213-2956 Ph: (503) 215-6819

Reviews and Comments

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
Dr. Emmanuel Trungtoan Tavan, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901
Ginevra Lois Liptan, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808
Donald Richard Sullivan, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949
Dr. Victor Nguyen Pham, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

Samarth Shivakumar Mathapathi, MD - Medicare Internal Medicine in Portland, OR