NASTARAN NEISHABOORI
NPI 1306264999
Pathology - Molecular Genetic Pathology in Portland, OR
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
8Medicare enrollment records show Nastaran Neishaboori reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 676 clinicians in this Medicare group
Milwaukie, OR 97222
- Reassigned Medicare billing, Oregon enrollment
- 229 clinicians in this Medicare group
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 753 clinicians in this Medicare group
Oregon City, OR 97045
- Reassigned Medicare billing, Oregon enrollment
- 206 clinicians in this Medicare group
Newberg, OR 97132
- Reassigned Medicare billing, Oregon enrollment
- 198 clinicians in this Medicare group
Mt Hood, OR 97041
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Providence Health & Services Oregon
- 267 clinicians in this Medicare group
Cannon Beach, OR 97110
- Reassigned Medicare billing, Oregon enrollment
- 301 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 311 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ORCovenant Medical Center
Acute Care Hospitals · Lubbock, TXPhysician 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.
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.
PORTLAND, OR 97213
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.
Which organizations bill Medicare for Nastaran Neishaboori's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nastaran Neishaboori reassigns Medicare benefits to 8 organizations: Providence Health & Services - Oregon (Portland, OR), Providence Health & Services Oregon (Milwaukie, OR), Providence Health & Services - Oregon (Portland, OR), Providence Health & Services - Oregon (Oregon City, OR), Providence Health & Services - Oregon (Newberg, OR) and 3 more organizations, listed in the Medicare section above. Each 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 Nastaran Neishaboori's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 20 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.
# Nastaran Neishaboori · NPI 1306264999
Molecular Genetic Pathology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 1, 2014.
## Identity
- **NPI:** 1306264999 (Entity type: Individual)
- **Enumerated:** April 1, 2014
- **Primary specialty:** Pathology - Molecular Genetic Pathology · taxonomy 207ZP0007X
- **State license:** A149044 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4805 NE GLISAN ST, Portland, OR 97213-2933
- **Phone:** (503) 893-7692
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services - Oregon (NPI 1003991845, Portland, OR); Providence Health & Services Oregon (NPI 1366536963, Milwaukie, OR); Providence Health & Services - Oregon (NPI 1235259532, Portland, OR); Providence Health & Services - Oregon (NPI 1003368911, Oregon City, OR); Providence Health & Services - Oregon (NPI 1174074868, Newberg, OR); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** February 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306264999) · Data from the CMS NPPES public registry.