DR. SUSHANT PURI MD
NPI 1194253310
Psychiatry & Neurology - Neurology in Portland, OR

Q: What is Sushant Puri's NPI number?

The NPI number for Sushant Puri is 1194253310. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Q: What is Sushant Puri's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Sushant Puri was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since June 01, 2017PECOS EnrolledAccepts Medicare Assignment

3303 S BOND AVE, PORTLAND, OR 97239(503) 497-4431(503) 346-6810 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2024, Aug 5, 2024, Jul 11, 2017 and 1 more (4 updates tracked since 2017).

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About Dr. Sushant Puri Md NPPES

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

DR. SUSHANT PURI MD (NPI 1194253310) is an individual neurology provider in Portland, Oregon, licensed in Oregon (MD218283) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1194253310

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. SUSHANT PURICredential: MD

Location Address3303 S BOND AVEPortland, OR 97239-4501

Mailing Address1400 Sw 5th Ave Ste 500Portland, OR 97201-5537 · (866) 617-6855 · Fax (503) 346-8015

Phone(503) 497-4431

Fax(503) 346-6810

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 1, 2017

Last NPPES UpdateSeptember 12, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1194253310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in OR · MD218283

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedNeurological SurgeryTaxonomy 207T00000X · License MD218283 (OR)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3303 S BOND AVE, Portland, OR 97239

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Secondary Practice Location 1

Location 1912 S Wood StChicago, IL 60612-4300 · Phone (312) 996-6496

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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. Sushant Puri 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 ID7315218013

PECOS Enrollment IDI20240905001525

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.

Hospital Affiliations CMS Care Compare

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380009

Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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.

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.

CHERYL STOMBERG FNP

Nurse Practitioner (Family)