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MR. NIMRITJOT S HOTHI PA-C
NPI 1104667039
Clinic/Center - Primary Care in Gresham, OR

Active since June 04, 2024PECOS EnrolledAccepts Medicare Assignment
600 NE 8TH ST STE 300, GRESHAM, OR 97030(503) 988-5155 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2026, Jun 4, 2024 (2 updates tracked since 2024).

About Mr. Nimritjot S Hothi Pa-c NPPES

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

MR. NIMRITJOT S HOTHI PA-C (NPI 1104667039) is an individual primary care provider in Gresham, Oregon, licensed in Oregon (PA227594) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of Oral Roberts University School Of Medicine (2025).

NPPES Registry Identity

NPI1104667039
Entity TypeIndividualMale
Primary Taxonomy261QP2300X
Provider Legal NameMR. NIMRITJOT S HOTHICredential: PA-C
Location Address600 NE 8TH ST STE 300Gresham, OR 97030-7318
Mailing Address600 Ne 8th St Ste 300Gresham, OR 97030-7318 · (209) 417-0062
Phone(503) 988-5155
Sole ProprietorNo
Medical School CMSOral Roberts University School Of MedicineGraduated 2025
Enumeration DateJune 4, 2024
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1104667039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in OR · PA227594
600 NE 8TH ST STE 300, Gresham, OR 97030
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 and accepts Medicare assignment

Mr. Nimritjot S Hothi Pa-c 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 ID6406345214
PECOS Enrollment IDI20251031000614
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LUZ MARIA BROUSSEAU LPN
Licensed Practical Nurse
600 NE 8TH ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 988-8500
RENAE RYKACZEWSKI FNP-C
Nurse Practitioner (Family)
600 NE 8TH ST STE 300
GRESHAM, OR 97030
Multnomah County (530) 988-5155
LACEY M HUDSON
Dental Assistant
600 NE 8TH ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 907-4233
JACQUELINE BROWN
Physician Assistant
600 NE 8TH ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 494-3633
TYLER CLARK CHIPMAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
600 NE 8TH ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 988-5155
NATASHA MONA MALIK PHARMD
Pharmacist
600 NE 8TH ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 988-8950
TAYLOR ANN SHARMAN PA-S
Student in an Organized Health Care Education/Training Program
600 NE 8TH ST STE 300
GRESHAM, OR 97030
Multnomah County (503) 988-5558
DORIS GONZALEZ
Community Health Worker
600 NE 8TH ST STE 300
GRESHAM, OR 97030
Multnomah County (971) 888-2425

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 Nimritjot Hothi's NPI number?

The NPI number for Nimritjot Hothi is 1104667039. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Nimritjot Hothi located?

Nimritjot Hothi practices at 600 NE 8th St Ste 300, Gresham, OR 97030. The listed phone number is (503) 988-5155.

What is Nimritjot Hothi's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Nimritjot Hothi enrolled in Medicare?

Yes. Nimritjot Hothi 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.

Is Nimritjot Hothi affiliated with any hospitals?

According to CMS data, Nimritjot Hothi is affiliated with Legacy Mount Hood Medical Center.

When was this NPI record last updated?

The NPPES record for Nimritjot Hothi was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.