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DR. BOBAK AMIR GHAHERI M.D.
NPI 1114098696
Otolaryngology in Gresham, OR

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
24076 SE STARK ST, SUITE 230, GRESHAM, OR 97030(503) 488-2600(503) 465-5468 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2025, Nov 21, 2023, Nov 17, 2021 (3 updates tracked since 2021).

About Dr. Bobak Amir Ghaheri M.d. NPPES

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

DR. BOBAK AMIR GHAHERI M.D. (NPI 1114098696) is an individual otolaryngology provider in Gresham, Oregon, licensed in Oregon (MD27404) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Ohio State University College Of Medicine (2002).

NPPES Registry Identity

NPI1114098696
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. BOBAK AMIR GHAHERICredential: M.D.
Location Address24076 SE STARK ST, SUITE 230Gresham, OR 97030-3373
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 488-2600
Fax(503) 465-5468
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2002
Enumeration DateNovember 13, 2006
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1114098696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OR · MD27404
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
24076 SE STARK ST, Gresham, OR 97030
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Other Names 1

Other Name (5)Dr. Bobby Amir Ghaheri M.d.

Secondary Practice Location 1

Location 11111 NE 99th Ave Ste 101Portland, OR 97220-9442 · Phone (503) 488-2626 · Fax (503) 488-2630

Other Identifiers 2

Medicaid8481699WA
Medicaid006246OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Dr. Bobak Amir Ghaheri M.d. 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 ID4486754710
PECOS Enrollment IDI20070716000211
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
24 services12 patients

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
$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.

STARK STREET PLAZA, LLC
Clinic/Center (Ambulatory Surgical)
24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030
Multnomah County (503) 492-6510
CENTER FOR MENS AND WOMENS UROLOGY LLC
Specialist
24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030
Multnomah County (503) 492-6510
MR. CLEM GEORGE EISCHEN JR. PT
Physical Therapist
24076 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 491-1666
GRESHAM PROFESSIONAL PHARMACY
Pharmacy (Community/Retail Pharmacy)
24076 SE STARK ST, SUITE 100
GRESHAM, OR 97030
Multnomah County (503) 491-0117
MOUNTAINVIEW MRI LLC
Physiological Laboratory
24076 SE STARK ST, SUITE 180
GRESHAM, OR 97030
Multnomah County (503) 661-6500
ANNA LEE PAC
Physician Assistant
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Multnomah County (503) 488-2600
GREGORY GULLO MD PC
Anesthesiology (Pain Medicine)
24076 SE STARK ST, SUITE 320
GRESHAM, OR 97030
Multnomah County (503) 512-1212
GLEN A MILLIGAN M.D.
Specialist
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Multnomah County (503) 465-5461

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 Bobak Ghaheri's NPI number?

The NPI number for Bobak Ghaheri is 1114098696. It was assigned to this individual provider in the NPPES registry on November 13, 2006. The provider is also known as Dr. Bobby Amir Ghaheri M.D..

Where is Bobak Ghaheri located?

Bobak Ghaheri practices at 24076 SE Stark St Suite 230, Gresham, OR 97030. The listed phone number is (503) 488-2600.

What is Bobak Ghaheri's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Bobak Ghaheri enrolled in Medicare?

Yes. Bobak Ghaheri 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 Bobak Ghaheri accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Bobak Ghaheri 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 Bobak Ghaheri was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.