1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

NIKA LUSTGARTEN DDS
NPI 1487005187
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since June 24, 2016PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2023, Jun 17, 2020, Jun 11, 2020 and 2 more (5 updates tracked since 2016).

About Nika Lustgarten Dds NPPES

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

NIKA LUSTGARTEN DDS (NPI 1487005187) is an individual student in an organized health care education/training program in Portland, Oregon, licensed in Oregon (D11224) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1487005187
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNIKA LUSTGARTENCredential: DDS
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-8211
Phone(503) 494-8211
Sole ProprietorNo
Enumeration DateJune 24, 2016
Last NPPES UpdateMay 17, 20235 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1487005187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OR · D11224
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.
Also ListedDentistTaxonomy 122300000X · License 1001515-15 (WI)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Other Names 1

Former Name (1)Nika Ranjbar-irani

Secondary Practice Location 1

Location 1430 SW 13th Ave Apt 1009Portland, OR 97205-2366 · Phone (608) 443-5482

Other Identifiers 1

Medicaid0076372IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..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)

Nika Lustgarten Dds 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.

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Nika Lustgarten's NPI number?

The NPI number for Nika Lustgarten is 1487005187. It was assigned to this individual provider in the NPPES registry on June 24, 2016. The provider is also known as Nika Ranjbar-Irani.

Where is Nika Lustgarten located?

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

What is Nika Lustgarten's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nika Lustgarten enrolled in Medicare?

Yes. Nika Lustgarten is registered in the Medicare PECOS enrollment system.

What insurance does Nika Lustgarten accept?

Health plans from Delta Dental of Wisconsin, Inc. list Nika Lustgarten 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 Nika Lustgarten was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.