Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. POOJA M PATEL
NPI 1013413863
Internal Medicine - Medical Oncology in Tigard, OR

Active since April 02, 2018PECOS Enrolled
12123 SW 69TH AVE, TIGARD, OR 97223(971) 708-7600(971) 371-5230 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2026, Apr 24, 2024 (2 updates tracked since 2024).

About Ms. Pooja M Patel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. POOJA M PATEL (NPI 1013413863) is an individual medical oncology provider in Tigard, Oregon, licensed in Oregon (MD229987) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of University Of South Carolina School Of Medicine (2018).

NPPES Registry Identity

NPI1013413863
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameMS. POOJA M PATEL
Location Address12123 SW 69TH AVETigard, OR 97223-8514
Mailing Address1498 Se Tech Center Pl Ste 240Vancouver, WA 98683-5508 · (360) 597-1313
Fax(971) 371-5230
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2018
Enumeration DateApril 2, 2018
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1013413863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in OR · MD229987
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
12123 SW 69TH AVE, Tigard, OR 97223

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Pooja M Patel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173873452
PECOS Enrollment IDI20210901003592
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Pooja Patel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
1498 SE TECH CENTER PL, SUITE 240
Vancouver, WA 98683
  • Reassigned Medicare billing, Oregon enrollment
  • 57 clinicians in this Medicare group
Urology
41 MALL RD LAHEY HOSPITAL & MEDICAL CENTER
Burlington, MA 01805
  • Reassigned Medicare billing, Massachusetts enrollment
  • 477 clinicians in this Medicare group
Family Medicine
2014 WASHINGTON STREET
Newton, MA 02462
  • Reassigned Medicare billing, Massachusetts enrollment
  • 992 clinicians in this Medicare group
Anesthesiology
55 FOGG RD
Weymouth, MA 02190
  • Reassigned Medicare billing, Massachusetts enrollment
  • 671 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
12123 SW 69TH AVE
TIGARD, OR 97223
Physician Assistant (Surgical)
12123 SW 69TH AVE
TIGARD, OR 97223
Radiology (Radiation Oncology)
12123 SW 69TH AVE
TIGARD, OR 97223
Internal Medicine
12123 SW 69TH AVE
TIGARD, OR 97223
Surgery (Surgical Oncology)
12123 SW 69TH AVE
TIGARD, OR 97223
Nurse Practitioner
12123 SW 69TH AVE
TIGARD, OR 97223
Obstetrics & Gynecology (Gynecologic Oncology)
12123 SW 69TH AVE
TIGARD, OR 97223
Internal Medicine (Hematology & Oncology)
12123 SW 69TH AVE
TIGARD, OR 97223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pooja Patel's NPI number?

The NPI number for Pooja Patel is 1013413863. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Pooja Patel located?

Pooja Patel practices at 12123 SW 69th Ave, Tigard, OR 97223. The listed phone number is (971) 708-7600.

What is Pooja Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Pooja Patel enrolled in Medicare?

Yes. Pooja Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Pooja Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Patel reassigns Medicare benefits to 4 organizations: Northwest Cancer Specialists PC (Vancouver, WA), Beth Israel Lahey Health Specialty Care, Inc. (Burlington, MA), Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA) and Coastal Medical Associates (Weymouth, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pooja Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pooja Patel accept?

Health plans from Moda Health Plan, Inc. list Pooja Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pooja Patel affiliated with any hospitals?

According to CMS data, Pooja Patel is affiliated with Northeast Hospital Corporation and South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Pooja Patel was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.