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NASTARAN NEISHABOORI
NPI 1306264999
Pathology - Molecular Genetic Pathology in Portland, OR

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
4805 NE GLISAN ST, PORTLAND, OR 97213(503) 893-7692 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2025, Nov 8, 2023 (2 updates tracked since 2023).

About Nastaran Neishaboori NPPES

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

NASTARAN NEISHABOORI (NPI 1306264999) is an individual molecular genetic pathology provider in Portland, Oregon, licensed in California (A149044) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1306264999
Entity TypeIndividualFemale
Primary Taxonomy207ZP0007X
Provider Legal NameNASTARAN NEISHABOORI
Location Address4805 NE GLISAN STPortland, OR 97213-2933
Mailing Address1500 Ne 15th Ave Apt 443Portland, OR 97232-4418 · (832) 540-0098
Phone(503) 893-7692
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 1, 2014
Last NPPES UpdateFebruary 10, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1306264999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Molecular Genetic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0007X
Licenses✔ Licensed in CA · A149044✔ Licensed in OR · MD222287
Definition
A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.
4805 NE GLISAN ST, Portland, OR 97213
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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

Nastaran Neishaboori 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 ID6002033446
PECOS Enrollment IDI20241017001961
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 2

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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.

SALONA SHRESTHA MD
Internal Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-2392
PROVIDENCE HEALTH & SERVICES - OREGON
General Acute Care Hospital
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 451-3000
DR. ROBERT THOMAS MARTIN M.D.
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 297-6334
CECILIA BRADFORD CRNA
Nurse Anesthetist, Certified Registered
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111
PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatric Unit
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-4323
GITA D GELFER DO
Hospitalist
4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213
Multnomah County (503) 215-2392
MECCA CARTER
Doula
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111
JESUS ERNESTO CONRIQUE GARCIA
Nurse's Aide
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111

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 Nastaran Neishaboori's NPI number?

The NPI number for Nastaran Neishaboori is 1306264999. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Nastaran Neishaboori located?

Nastaran Neishaboori practices at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 893-7692.

What is Nastaran Neishaboori's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Molecular Genetic Pathology, with taxonomy code 207ZP0007X.

Is Nastaran Neishaboori enrolled in Medicare?

Yes. Nastaran Neishaboori 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.

Is Nastaran Neishaboori affiliated with any hospitals?

According to CMS data, Nastaran Neishaboori is affiliated with Providence Portland Medical Center and Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Nastaran Neishaboori was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.