1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Pediatrics
  6. NPI Profile

DR. THEODORE DAVID PAWLIK M.D.
NPI 1154483402
Pediatrics - Neonatal-Perinatal Medicine in Portland, OR

Active since December 14, 2006PECOS Enrolled
501 N GRAHAM ST, SUITE 265, PORTLAND, OR 97227(503) 282-7002(503) 280-1290 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore David Pawlik M.d. NPPES

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

DR. THEODORE DAVID PAWLIK M.D. (NPI 1154483402) is an individual neonatal-perinatal medicine provider in Portland, Oregon, licensed in Oregon (MD27961) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154483402
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. THEODORE DAVID PAWLIKCredential: M.D.
Location Address501 N GRAHAM ST, SUITE 265Portland, OR 97227-2000
Mailing Address501 N Graham St, Suite 265Portland, OR 97227-2000 · (503) 282-7002 · Fax (503) 280-1290
Phone(503) 282-7002
Fax(503) 280-1290
Sole ProprietorYes
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 9, 2015
✔ NPI 1154483402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in OR · MD27961✔ Licensed in IL · 036103541
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
501 N GRAHAM ST, Portland, OR 97227
Open in Google Maps ↗

Other Identifiers 1

Medicaid218504OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore David Pawlik M.d. 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.

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.

JAMES FRANCIS DEITLE PA-C
Physician Assistant
501 N GRAHAM ST, SUITE #580
PORTLAND, OR 97227
Multnomah County (503) 528-0704
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
Prosthetic/Orthotic Supplier
501 N GRAHAM ST, STE 255
PORTLAND, OR 97227
Multnomah County (503) 288-9929
HELEN MONTIE MSN, APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
501 N GRAHAM ST
PORTLAND, OR 97227
Multnomah County (503) 413-2200
DR. KARIN ANN SELVA MD
Pediatrics (Pediatric Endocrinology)
501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227
Multnomah County (503) 413-1600
SURGICAL CENTER, INC
Surgery
501 N GRAHAM ST, SUITE 555
PORTLAND, OR 97227
Multnomah County (503) 288-7535
EMANUEL CHILDREN'S DIABETES AND ENDOCRINE CENTER
Clinic/Center
501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227
Multnomah County (503) 413-1600
MRS. PATRICIA KREINBERG VROOMAN CPNP
Nurse Practitioner (Pediatrics)
501 N GRAHAM ST, SUITE 355
PORTLAND, OR 97227
Multnomah County (503) 413-2560
CYNTHIA ANN GINGALEWSKI MD
Surgery (Pediatric Surgery)
501 N GRAHAM ST, MOB 2 SUITE 300
PORTLAND, OR 97227
Multnomah County (503) 413-4300

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 Theodore Pawlik's NPI number?

The NPI number for Theodore Pawlik is 1154483402. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Theodore Pawlik located?

Theodore Pawlik practices at 501 N Graham St Suite 265, Portland, OR 97227. The listed phone number is (503) 282-7002.

What is Theodore Pawlik's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Theodore Pawlik enrolled in Medicare?

Yes. Theodore Pawlik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Pawlik was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.