Samarth Shivakumar Mathapathi, MD - Medicare Internal Medicine 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 NameSamarth Shivakumar Mathapathi
GenderMale
SpecialityInternal Medicine - Rheumatology
Location5050 Ne Hoyt St Ste 155, Portland, Oregon
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1639668767NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal 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 NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services - Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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


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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.

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