JACOB GRASSAUER MD
NPI 1083415244
Student in an Organized Health Care Education/Training Program in Portland, OR
About Jacob Grassauer Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB GRASSAUER MD (NPI 1083415244) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Grassauer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Jacob Grassauer's NPI number?
The NPI number for Jacob Grassauer is 1083415244. It was assigned to this individual provider in the NPPES registry on March 24, 2025.
Where is Jacob Grassauer located?
Jacob Grassauer practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8311.
What is Jacob Grassauer's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacob Grassauer enrolled in Medicare?
Yes. Jacob Grassauer is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacob Grassauer was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jacob Grassauer, MD · NPI 1083415244
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 24, 2025.
## Identity
- **NPI:** 1083415244 (Entity type: Individual)
- **Enumerated:** March 24, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-8311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083415244) · Data from the CMS NPPES public registry.