DR. ANATOLIY VLASENKO MD
NPI 1083174924
Emergency Medicine in Portland, OR
About Dr. Anatoliy Vlasenko Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANATOLIY VLASENKO MD (NPI 1083174924) is an individual emergency medicine provider in Portland, Oregon, licensed in Oregon (MD211230) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Anatoliy Vlasenko Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Anatoliy Vlasenko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 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.
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Anatoliy Vlasenko's NPI number?
The NPI number for Anatoliy Vlasenko is 1083174924. It was assigned to this individual provider in the NPPES registry on March 25, 2019.
Where is Anatoliy Vlasenko located?
Anatoliy Vlasenko practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-7551.
What is Anatoliy Vlasenko's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Anatoliy Vlasenko enrolled in Medicare?
Yes. Anatoliy Vlasenko is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Anatoliy Vlasenko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anatoliy Vlasenko reassigns Medicare benefits to University Professional Services (Portland, OR). The 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 Anatoliy Vlasenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anatoliy Vlasenko was last updated on June 9, 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.
# Dr. Anatoliy Vlasenko, MD · NPI 1083174924
Emergency Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 25, 2019.
## Identity
- **NPI:** 1083174924 (Entity type: Individual)
- **Enumerated:** March 25, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD211230 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-7551 · **Fax:** (503) 494-4997
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Professional Services (NPI 1073767588, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083174924) · Data from the CMS NPPES public registry.