Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEREDITH BOULOS HAAG MD
NPI 1255818019
Pediatrics - Neonatal-Perinatal Medicine in Portland, OR

Q: What is Meredith Haag's NPI number?

The NPI number for Meredith Haag is 1255818019. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Q: What is Meredith Haag's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Meredith Haag was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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 July 25, 2018PECOS Enrolled

3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8311 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 10, 2026, Mar 25, 2020, Jul 25, 2018 (3 updates tracked since 2018).

On this page

About Meredith Boulos Haag Md NPPES

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

MEREDITH BOULOS HAAG MD (NPI 1255818019) is an individual neonatal-perinatal medicine provider in Portland, Oregon, licensed in Oregon (MD213054) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255818019

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameMEREDITH BOULOS HAAGCredential: MD

Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011

Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011

Phone(503) 494-8311

Sole ProprietorNo

Enumeration DateJuly 25, 2018

Last NPPES UpdateAugust 10, 20263 updates tracked since enumeration

NPPES CertifiedAugust 10, 2026

✔ NPI 1255818019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in OR · MD213054✔ Licensed in WA · MD70082527

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meredith Boulos Haag Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

KARINA RAE ESPANA MD

Psychiatry & Neurology (Psychiatry)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

CLAIRE SAHLBERG RUGGERI MD

Pediatrics

3181 SW SAM JACKSON PARK RD, OHSU
PORTLAND, OR 97239

Multnomah County (503) 494-8220

KIMBERLY LAUREN IMBESI MD

Emergency Medicine

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8211

ANN PERRIN

Student in an Organized Health Care Education/Training Program

3181 SW SAM JACKSON PARK RD, OHSU
PORTLAND, OR 97239

Multnomah County (503) 494-8211

KRIS KUMAR

Internal Medicine (Interventional Cardiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8311

SARAH POWER LCSW

Social Worker (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-0849

SHAHRZAD SHARAFI MD

Radiology (Diagnostic Radiology)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 418-0990

JULIE MARIE MARTIN

Dietitian, Registered

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-5466

BRENDA BONILLA

Social Worker (Clinical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-2273

KAYLEE PURPURA

Otolaryngology (Plastic Surgery within the Head & Neck)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-8510

MOLLY ANDERSON PA-C

Physician Assistant (Medical)

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Multnomah County (503) 494-4910

JESSICA OSBORN

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 Meredith Haag's NPI number?

The NPI number for Meredith Haag is 1255818019. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Where is Meredith Haag located?

Meredith Haag practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8311.

What is Meredith Haag's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Meredith Haag enrolled in Medicare?

Yes. Meredith Haag is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Meredith Haag was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.