ABHUSHAN POUDYAL MD
NPI 1497107189
Internal Medicine - Cardiovascular Disease in Portland, OR
About Abhushan Poudyal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABHUSHAN POUDYAL MD (NPI 1497107189) is an individual cardiovascular disease provider in Portland, Oregon, licensed in Oregon (MD214819) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Chi Health Mercy Council Bluffs, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
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
Abhushan Poudyal Md 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
2Medicare enrollment records show Abhushan Poudyal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lincoln, NE 68510
- Reassigned Medicare billing, Nebraska enrollment
- 525 clinicians in this Medicare group
Omaha, NE 68154
- Reassigned Medicare billing, Iowa and Nebraska enrollments
- Also billed through NPI 1154680700 (Nebraska)
- 482 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.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Chi Health Mercy Council Bluffs
Acute Care Hospitals · Council Bluffs, IAChi Health Bergan Mercy
Acute Care Hospitals · Omaha, NEChi Health Immanuel
Acute Care Hospitals · Omaha, NEChi Health Lakeside
Acute Care Hospitals · Omaha, NEMemorial Community Hospital & Health System
Critical Access Hospitals · Blair, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Abhushan Poudyal's NPI number?
The NPI number for Abhushan Poudyal is 1497107189. It was assigned to this individual provider in the NPPES registry on July 6, 2016.
Where is Abhushan Poudyal located?
Abhushan Poudyal practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8311.
What is Abhushan Poudyal's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Abhushan Poudyal enrolled in Medicare?
Yes. Abhushan Poudyal 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 Abhushan Poudyal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abhushan Poudyal reassigns Medicare benefits to 2 organizations: Chi Health Clinic Specialty, LLC (Lincoln, NE) and Alegent Creighton Clinic (Omaha, NE). 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 Abhushan Poudyal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abhushan Poudyal accept?
Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Abhushan Poudyal 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.
Is Abhushan Poudyal affiliated with any hospitals?
According to CMS data, Abhushan Poudyal is affiliated with Chi Health Mercy Council Bluffs, Chi Health Bergan Mercy, Chi Health Immanuel, Chi Health Lakeside and Memorial Community Hospital & Health System.
When was this NPI record last updated?
The NPPES record for Abhushan Poudyal was last updated on August 30, 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.
# Abhushan Poudyal, MD · NPI 1497107189
Cardiovascular Disease physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 6, 2016.
## Identity
- **NPI:** 1497107189 (Entity type: Individual)
- **Enumerated:** July 6, 2016
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD214819 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-8311
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Chi Health Clinic Specialty, LLC (NPI 1285138065, Lincoln, NE); Alegent Creighton Clinic (NPI 1518227859, Omaha, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497107189) · Data from the CMS NPPES public registry.