IDA SHEEVAUN KHAKI MD
NPI 1275822371
Pediatrics in Portland, OR

Active since March 30, 2011PECOS Enrolled
3181 SW SAM JACKSON PARK RD., OHSU, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ida Sheevaun Khaki Md NPPES

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

IDA SHEEVAUN KHAKI MD (NPI 1275822371) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (MD166953) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275822371
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameIDA SHEEVAUN KHAKICredential: MD
Location Address3181 SW SAM JACKSON PARK RD., OHSUPortland, OR 97239
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 418-2000
Sole ProprietorNo
Enumeration DateMarch 30, 2011
Last NPPES UpdateJune 18, 2014
NPI 1275822371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OR · MD166953
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3181 SW SAM JACKSON PARK RD., Portland, OR 97239

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ida Sheevaun Khaki 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.

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
$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 15

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

Physician Assistant (Medical)
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Radiology (Radiation Oncology)
3181 SW SAM JACKSON PARK RD., KPV4, RADIATION MEDICINE
PORTLAND, OR 97239
Speech-Language Pathologist
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Nurse Anesthetist, Certified Registered
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD., OHSU
PORTLAND, OR 97239
Anesthesiology (Pain Medicine)
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR 97239
Family Medicine
3181 SW SAM JACKSON PARK RD., OREGON HEALTH AND SCIENCE UNIVERSITY
PORTLAND, OR 97239

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 Ida Khaki's NPI number?

The NPI number for Ida Khaki is 1275822371. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Ida Khaki located?

Ida Khaki practices at 3181 SW Sam Jackson Park Rd. Ohsu, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is Ida Khaki's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ida Khaki enrolled in Medicare?

Yes. Ida Khaki is registered in the Medicare PECOS enrollment system.

What insurance does Ida Khaki accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Ida Khaki 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 Ida Khaki was last updated on June 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.