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UDIP DAHAL MD
NPI 1164733911
Internal Medicine - Infectious Disease in Portland, OR

Active since June 27, 2010PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
5050 NE HOYT ST STE 540, PORTLAND, OR 97213(503) 215-6601 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2022, Jul 16, 2019, May 6, 2019 and 1 more (4 updates tracked since 2016).

About Udip Dahal Md NPPES

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

UDIP DAHAL MD (NPI 1164733911) is an individual infectious disease provider in Portland, Oregon, licensed in Oregon (MD207951) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1164733911
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameUDIP DAHALCredential: MD
Location Address5050 NE HOYT ST STE 540Portland, OR 97213-2985
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 215-6601
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 27, 2010
Last NPPES UpdateApril 26, 20224 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1164733911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in OR · MD207951✔ Licensed in VA · 0101266929
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
5050 NE HOYT ST STE 540, Portland, OR 97213
Open in Google Maps ↗

Secondary Practice Location 1

Location 1825 Fairfax Ave Ste 572Norfolk, VA 23507-1912 · Phone (757) 446-8999 · Fax (757) 446-7922

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Udip Dahal Md 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 ID9335389246
PECOS Enrollment IDI20220217002707
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Udip Dahal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Oregon
Same address
Infectious Disease
5050 NE HOYT ST, SUITE 540
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1194978064 (503) 215-6600
Providence Health & Services - Oregon
0.1 mi
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
NPI 1003991845 (503) 451-3000
Providence Health & Services Oregon
5.4 mi
General Acute Care Hospital
10150 SE 32ND AVE
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 229 clinicians in this Medicare group
NPI 1366536963 (503) 451-3000
Providence Health & Services - Oregon
12 mi
Clinical Pathology
1500 DIVISION ST
Oregon City, OR 97045
  • Reassigned Medicare billing, Oregon enrollment
  • 206 clinicians in this Medicare group
NPI 1003368911 (503) 656-1631

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
95 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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
$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.

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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

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.

CHRISTOPHER M BENDER MD
Internal Medicine
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600
KATHERINE M ERICKSON MD
Student in an Organized Health Care Education/Training Program
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600
CYMON NICHOLE KERSCH READ MD
Radiology (Radiation Oncology)
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600
SHARON BOKYONG KIM M.D.
Internal Medicine
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600
JOHN E RISING MD
Internal Medicine
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600
ALEXANDER A HARTZELL MD
Internal Medicine
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600
RACHEL SHORE MD STUDENT
Internal Medicine
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600
THO THANH NGUYEN MD
Student in an Organized Health Care Education/Training Program
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600

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 Udip Dahal's NPI number?

The NPI number for Udip Dahal is 1164733911. It was assigned to this individual provider in the NPPES registry on June 27, 2010.

Where is Udip Dahal located?

Udip Dahal practices at 5050 NE Hoyt St Ste 540, Portland, OR 97213. The listed phone number is (503) 215-6601.

What is Udip Dahal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Udip Dahal enrolled in Medicare?

Yes. Udip Dahal 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.

Which organizations bill Medicare for Udip Dahal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Udip Dahal reassigns Medicare benefits to 4 organizations: Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Portland, OR), Providence Health & Services Oregon (Milwaukie, OR) and Providence Health & Services - Oregon (Oregon City, OR). Each 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 Udip Dahal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Udip Dahal accept?

Health plans from Providence Health Plan list Udip Dahal 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.

Is Udip Dahal affiliated with any hospitals?

According to CMS data, Udip Dahal is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Udip Dahal was last updated on April 26, 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.