DR. TAMARA RENEE SANDERSON DISSANAYAKE MD
NPI 1457771305
Family Medicine in Portland, OR

Q: What is Tamara Sanderson Dissanayake's NPI number?

The NPI number for Tamara Sanderson Dissanayake is 1457771305. It was assigned to this individual provider in the NPPES registry on April 18, 2014. The provider is also known as Dr. Tamara Renee Sanderson MD.

Q: What is Tamara Sanderson Dissanayake's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 18, 2014PECOS Enrolled

703 NE HANCOCK ST, PORTLAND, OR 97212(503) 230-9875(503) 331-3441 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 10, 2026, May 17, 2024, May 3, 2024 (3 updates tracked since 2024).

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About Dr. Tamara Renee Sanderson Dissanayake Md NPPES

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

DR. TAMARA RENEE SANDERSON DISSANAYAKE MD (NPI 1457771305) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD175860) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1457771305

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TAMARA RENEE SANDERSON DISSANAYAKECredential: MD

Location Address703 NE HANCOCK STPortland, OR 97212-3955

Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355

Phone(503) 230-9875

Fax(503) 331-3441

Sole ProprietorNo

Enumeration DateApril 18, 2014

Last NPPES UpdateApril 10, 20263 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1457771305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OR · MD175860✔ Licensed in WA · MD61333136

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

703 NE HANCOCK ST, Portland, OR 97212

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Other Names 1

Professional Name (2)Dr. Tamara Renee Sanderson Md

Secondary Practice Location 1

Location 112360 E Burnside StPortland, OR 97233-1042 · Phone (971) 279-4800 · Fax (971) 279-2051

Other Identifiers 1

Medicaid500672900OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tamara Renee Sanderson Dissanayake 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.

Medicare Billing Reassignments

Medicare enrollment records show Tamara Sanderson Dissanayake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Native American Rehabilitation Assoc Inc

Same address

Federally Qualified Health Center (FQHC)

703 NE HANCOCK ST
Portland, OR 97212

Reassigned Medicare billing, Oregon enrollment
39 clinicians in this Medicare group

NPI 1396734364 (503) 230-9875

Kaiser Foundation Health Plan Of The Northwest

0.4 mi

General Practice

500 NE MULTNOMAH ST
Portland, OR 97232

Reassigned Medicare billing, Oregon and Washington enrollments
3,207 clinicians in this Medicare group

NPI 1184786527 (503) 813-2440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97212 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 20

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

HAJJAR A ALTURKY RPH

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)