ANTONY MATHEW POOTHULLIL MD
NPI 1053418228
Ophthalmology in Portland, OR

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
3600 N INTERSTATE AVE, PORTLAND, OR 97227(503) 331-6330 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antony Mathew Poothullil Md NPPES

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

ANTONY MATHEW POOTHULLIL MD (NPI 1053418228) is an individual ophthalmology provider in Portland, Oregon, licensed in Oregon (MD25979) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1999).

NPPES Registry Identity

NPI1053418228
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameANTONY MATHEW POOTHULLILCredential: MD
Location Address3600 N INTERSTATE AVEPortland, OR 97227-1106
Mailing Address3600 N Interstate AvePortland, OR 97227-1106 · (503) 331-6330
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1999
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 4, 2022
NPI 1053418228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in OR · MD25979 Licensed in WA · MD00045365
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3600 N INTERSTATE AVE, Portland, OR 97227

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Antony Mathew Poothullil Md 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 ID5395633184
PECOS Enrollment IDI20060227000201
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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.

Otolaryngology
3600 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE CENTRAL
PORTLAND, OR 97227
Physical Medicine & Rehabilitation (Sports Medicine)
3600 N INTERSTATE AVE, DEPARTMENT OF PHYSICAL MEDICINE
PORTLAND, OR 97227
Internal Medicine (Hematology & Oncology)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Social Worker (Clinical)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Optometrist
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Internal Medicine (Hematology & Oncology)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Physical Therapist
3600 N INTERSTATE AVE
PORTLAND, OR 97227

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 Antony Poothullil's NPI number?

The NPI number for Antony Poothullil is 1053418228. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Antony Poothullil located?

Antony Poothullil practices at 3600 N Interstate Ave, Portland, OR 97227. The listed phone number is (503) 331-6330.

What is Antony Poothullil's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Antony Poothullil enrolled in Medicare?

Yes. Antony Poothullil 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.

What insurance does Antony Poothullil accept?

Health plans from Kaiser Permanente list Antony Poothullil 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.

When was this NPI record last updated?

The NPPES record for Antony Poothullil was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.