Deepak Nallur, in Beaverton, OR - Medicare Family Medicine

Deepak Nallur, is a medicare enrolled "Family Medicine" physician in Beaverton, Oregon. His current practice location is 4855 Sw Western Ave, Beaverton, Oregon. You can reach out to his office (for appointments etc.) via phone at (800) 813-2000.

Deepak Nallur is licensed to practice in Oregon (license number DO221487) 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 1871175695.

Contact Information

	Deepak Nallur,
	4855 Sw Western Ave, Beaverton, OR 97005-3499
	(800) 813-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Deepak Nallur
Gender	Male
Speciality	Family Medicine
Location	4855 Sw Western Ave, Beaverton, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871175695
Provider Enumeration Date: 04/21/2021
Last Update Date: 10/08/2025

Medicare PECOS Information:

PECOS PAC ID: 1658800602
Enrollment ID: I20250121002858

Medical Identifiers

Medical identifiers for Deepak Nallur such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871175695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DO221487 (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. Deepak Nallur allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Deepak Nallur 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
Deepak Nallur, 500 Ne Multnomah St Ste 100, Portland, OR 97232-2099 Ph: (800) 813-2000	Deepak Nallur, 4855 Sw Western Ave, Beaverton, OR 97005-3499 Ph: (800) 813-2000

Reviews and Comments

Family Medicine Doctors in Beaverton, OR

Philip W Pritchard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1881 Nw 185th Ave, Suite 300, Beaverton, OR 97006 Phone: 503-216-9300 Fax: 503-216-9339
Todd S Gillingham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17200 Nw Corridor Ct Ste 110, Beaverton, OR 97006 Phone: 503-614-8633 Fax: 503-614-8635
David Albert Pierce, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97006 Phone: 503-646-0161 Fax: 503-221-4451
Dr. Carolyn Lee Goebel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005 Phone: 503-352-6000
Dr. Gerald Wendal Miller, M.D, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1960 Nw 167th Place, Suite 103, Beaverton, OR 97006 Phone: 503-466-1823 Fax: 503-466-1823
Dr. Priscilla Butler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-643-7565
Vicki Lynne Reid, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-520-4863

Deepak Nallur, - Medicare Family Medicine in Beaverton, OR