KAVYA TIMMIREDDY MD
NPI 1174187892
Family Medicine in Portland, OR

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment
1700 NE 102ND AVE, PORTLAND, OR 97220(800) 813-2000 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2025, Feb 12, 2025, Jul 29, 2024 and 2 more (5 updates tracked since 2019).

About Kavya Timmireddy Md NPPES

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

KAVYA TIMMIREDDY MD (NPI 1174187892) is an individual family medicine provider in Portland, Oregon, licensed in Washington (MD61576903) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Auburn, and is a graduate of Rush Medical College Of Rush University (2021).

NPPES Registry Identity

NPI1174187892
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAVYA TIMMIREDDYCredential: MD
Location Address1700 NE 102ND AVEPortland, OR 97220-3804
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (800) 813-2000 · Fax (855) 524-5255
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2021
Enumeration DateApril 29, 2019
Last NPPES UpdateSeptember 8, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1174187892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD61576903✔ Licensed in OR · MD222946
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1700 NE 102ND AVE, Portland, OR 97220

Secondary Practice Location 1

Location 1923 Auburn Way NAuburn, WA 98002-4117 · Phone (253) 351-3900

Accepted 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

Kavya Timmireddy 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 ID840694980
PECOS Enrollment IDI20240809002006, I20250219003747
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

2

Medicare enrollment records show Kavya Timmireddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
3060 SE HAWTHORNE BLVD
Portland, OR 97214
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
33914 19TH AVE SW
Federal Way, WA 98023
  • Reassigned Medicare billing, Washington enrollment
  • 403 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
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 20

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

Family Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1700 NE 102ND AVE
PORTLAND, OR 97220
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1700 NE 102ND AVE
PORTLAND, OR 97220
Pharmacist
1700 NE 102ND AVE
PORTLAND, OR 97220
Nurse Practitioner (Family)
1700 NE 102ND AVE
PORTLAND, OR 97220
Dietitian, Registered
1700 NE 102ND AVE
PORTLAND, OR 97220
Internal Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Internal Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220

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 Kavya Timmireddy's NPI number?

The NPI number for Kavya Timmireddy is 1174187892. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Kavya Timmireddy located?

Kavya Timmireddy practices at 1700 NE 102nd Ave, Portland, OR 97220. The listed phone number is (800) 813-2000.

What is Kavya Timmireddy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kavya Timmireddy enrolled in Medicare?

Yes. Kavya Timmireddy 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 Kavya Timmireddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kavya Timmireddy reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Northwest (Portland, OR) and Healthpoint (Federal Way, WA). 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 Kavya Timmireddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kavya Timmireddy accept?

Health plans from Kaiser Permanente list Kavya Timmireddy 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 Kavya Timmireddy was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.