Supreetha Gubbala, MD - Medicare Family Medicine in Scappoose, OR

  1. Home
  2. Family Medicine
  3. OR
  4. Scappoose
Supreetha Gubbala, MD is a medicare enrolled "Family Medicine" physician in Scappoose, Oregon. Her current practice location is 51377 Sw Old Portland Rd, Scappoose, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 418-4222.

Supreetha Gubbala is licensed to practice in Oregon (license number MD212377) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144781162.

Contact Information

Supreetha Gubbala, MD
51377 Sw Old Portland Rd,
Scappoose, OR 97056-4023
(503) 418-4222
(503) 418-4223

Map and Direction




Physician's Profile

Full NameSupreetha Gubbala
GenderFemale
SpecialityFamily Medicine
Location51377 Sw Old Portland Rd, Scappoose, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144781162
  • Provider Enumeration Date: 03/31/2019
  • Last Update Date: 11/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072840826
  • Enrollment ID: I20221116002617

Medical Identifiers

Medical identifiers for Supreetha Gubbala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144781162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD212377 (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. Supreetha Gubbala allows following entities to bill medicare on her behalf.
Entity NameOregon Health & Science University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417969304
PECOS PAC ID: 1759328842
Enrollment ID: O20050516000173
Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013
Entity NameTuality Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073929782
PECOS PAC ID: 7416173414
Enrollment ID: O20140729000238

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. Supreetha Gubbala 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 AddressPractice Location Address
Supreetha Gubbala, MD
335 Se 8th Ave,
Hillsboro, OR 97123-4246

Ph: (503) 681-1050		Supreetha Gubbala, MD
51377 Sw Old Portland Rd,
Scappoose, OR 97056-4023

Ph: (503) 418-4222

Reviews and Comments


Family Medicine Doctors in Scappoose, OR

Richard William Moberly Ii, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 51377 Sw Old Portland Rd, Scappoose, OR 97056
Phone: 503-418-4222    Fax: 503-418-4223
Jennifer Cogburn, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 51377 Sw Old Portland Rd Ste C, Scappoose, OR 97056
Phone: 503-418-4222    
John Bruin Rugge, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 33721 E Columbia Ave., Scappoose, OR 97056
Phone: 503-418-4222    
Dr. Steven A Wahls, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 51377 Sw Old Portland Rd Ste C, Ohsu Family Medicine At Scappoose, Scappoose, OR 97056
Phone: 503-418-4222    Fax: 503-418-4223
Eric Poolman, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 51377 Sw Old Portland Rd, Scappoose, OR 97056
Phone: 503-418-4222    
Ryan Himes,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 51377 Sw Old Portland Rd Ste C, Scappoose, OR 97056
Phone: 503-418-4222    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.