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DR. EVAN SHERECK MD
NPI 1184742140
Pediatrics - Pediatric Hematology-Oncology in Portland, OR

Active since March 27, 2007PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD,, MAIL CODE CDRC-P, PORTLAND, OR 97214(503) 494-0829(503) 494-0714 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Evan Shereck Md NPPES

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

DR. EVAN SHERECK MD (NPI 1184742140) is an individual pediatric hematology-oncology provider in Portland, Oregon, licensed in Oregon (MD152990) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2001).

NPPES Registry Identity

NPI1184742140
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. EVAN SHERECKCredential: MD
Location Address3181 SW SAM JACKSON PARK RD,, MAIL CODE CDRC-PPortland, OR 97214
Mailing Address3181 Sw Sam Jackson Park Rd, Mail Code Cdrc-pPortland, OR 97214 · (503) 494-0829 · Fax (503) 494-0714
Phone(503) 494-0829
Fax(503) 494-0714
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2001
Enumeration DateMarch 27, 2007
Last NPPES UpdateSeptember 10, 2012
✔ NPI 1184742140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in OR · MD152990
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License MD152990 (OR)
3181 SW SAM JACKSON PARK RD,, Portland, OR 97214
Open in Google Maps ↗

Other Identifiers 2

Medicare PINR156650OR
Medicaid500628915OR

Accepted Insurance

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

Dr. Evan Shereck 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 ID446448344
PECOS Enrollment IDI20101220000258
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 Reassignment

Medicare enrollment records show Evan Shereck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Professional Services
0.1 mi
General Practice
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1376709535 (503) 494-8311

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

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 Evan Shereck's NPI number?

The NPI number for Evan Shereck is 1184742140. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Evan Shereck located?

Evan Shereck practices at 3181 SW Sam Jackson Park Rd, Mail Code Cdrc-P, Portland, OR 97214. The listed phone number is (503) 494-0829.

What is Evan Shereck's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Evan Shereck enrolled in Medicare?

Yes. Evan Shereck 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 organization bills Medicare for Evan Shereck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Shereck reassigns Medicare benefits to University Professional Services (Portland, OR). The 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 Evan Shereck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Shereck accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Evan Shereck 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 Evan Shereck was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.