ELIJAH JONATHAN HORESH MD MPH
NPI 1063109403
Dermatology in Portland, OR

Active since April 18, 2023PECOS Enrolled
3303 S BOND AVE # CH16D, PORTLAND, OR 97239(503) 494-1375 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 19, 2026, Jun 11, 2024 (2 updates tracked since 2024).

About Elijah Jonathan Horesh Md Mph NPPES

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

ELIJAH JONATHAN HORESH MD MPH (NPI 1063109403) is an individual dermatology provider in Portland, Oregon, licensed in Oregon (PG227313) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063109403
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameELIJAH JONATHAN HORESHCredential: MD MPH
Location Address3303 S BOND AVE # CH16DPortland, OR 97239-4501
Mailing Address3303 S Bond Ave # Ch16dPortland, OR 97239-4501 · (503) 494-1375 · Fax (503) 346-8106
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
NPI 1063109403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in OR · PG227313
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3303 S BOND AVE # CH16D, Portland, OR 97239

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elijah Jonathan Horesh Md Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 97239 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
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.

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 Elijah Horesh's NPI number?

The NPI number for Elijah Horesh is 1063109403. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Elijah Horesh located?

Elijah Horesh practices at 3303 S Bond Ave # Ch16d, Portland, OR 97239. The listed phone number is (503) 494-1375.

What is Elijah Horesh's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Elijah Horesh enrolled in Medicare?

Yes. Elijah Horesh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elijah Horesh was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.