1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MARYAM N SHAHIN MD
NPI 1033672787
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 10, 2019PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2026, Apr 10, 2019 (2 updates tracked since 2019).

About Maryam N Shahin Md NPPES

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

MARYAM N SHAHIN MD (NPI 1033672787) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033672787
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARYAM N SHAHINCredential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3098
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3098
Phone(503) 494-8211
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1033672787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedNeurological SurgeryTaxonomy 207T00000X · License 036179470 (IL)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryam N Shahin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284965617
PECOS Enrollment IDI20260609002845
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.

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Maryam Shahin's NPI number?

The NPI number for Maryam Shahin is 1033672787. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Maryam Shahin located?

Maryam Shahin practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is Maryam Shahin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maryam Shahin enrolled in Medicare?

Yes. Maryam Shahin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryam Shahin was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.