SHAWN IZADI MD
NPI 1346869773
Student in an Organized Health Care Education/Training Program in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 15, 2020PECOS Enrolled

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

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Shawn Izadi Md NPPES

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

SHAWN IZADI MD (NPI 1346869773) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346869773

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSHAWN IZADICredential: MD

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

Mailing AddressOhsu, 3181 Sw Sam Jackson Park RoadPortland, OR 97239 · (503) 494-8211

Phone(503) 494-8311

Sole ProprietorNo

Enumeration DateApril 15, 2020

NPPES CertifiedApril 15, 2020

✔ NPI 1346869773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3181 SW SAM JACKSON PARK RD, Portland, OR 97239

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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 (PECOS)

Shawn Izadi 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.