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KUSHMA S GOVINDAPPA M.D.
NPI 1205139862
Pediatrics - Developmental - Behavioral Pediatrics in Portland, OR

Active since December 20, 2010PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 452-3563(503) 494-4447 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 6, 2022, Feb 12, 2021, Oct 14, 2020 (3 updates tracked since 2020).

About Kushma S Govindappa M.d. NPPES

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

KUSHMA S GOVINDAPPA M.D. (NPI 1205139862) is an individual developmental - behavioral pediatrics provider in Portland, Oregon, licensed in Oregon (MD187847) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1205139862
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameKUSHMA S GOVINDAPPACredential: M.D.
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 452-3563 · Fax (503) 494-4447
Phone(503) 452-3563
Fax(503) 494-4447
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 20, 2010
Last NPPES UpdateDecember 6, 20223 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1205139862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in OR · MD187847
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedPediatricsTaxonomy 208000000X · License A 112481 (CA), MD187847 (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Secondary Practice Locations 2

Location 12825 50th StreetSacramento, CA 95817-2310 · Phone (916) 703-0235 · Fax (916) 703-0243
Location 29135 SW Barnes Rd Ste 561Portland, OR 97225-6643 · Phone (503) 216-2339

Accepted Insurance

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

Kushma S Govindappa M.d. 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 ID9830435031
PECOS Enrollment IDI20190109000768
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 Kushma Govindappa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Professional Services
Same address
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.

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Kushma Govindappa's NPI number?

The NPI number for Kushma Govindappa is 1205139862. It was assigned to this individual provider in the NPPES registry on December 20, 2010.

Where is Kushma Govindappa located?

Kushma Govindappa practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 452-3563.

What is Kushma Govindappa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Kushma Govindappa enrolled in Medicare?

Yes. Kushma Govindappa 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 Kushma Govindappa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kushma Govindappa 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 Kushma Govindappa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kushma Govindappa accept?

Health plans from Moda Health Plan, Inc. list Kushma Govindappa 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 Kushma Govindappa was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.