AZADEH REZVAN M.D.
NPI 1508022781
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Clackamas, OR

Q: What is Azadeh Rezvan's NPI number?

The NPI number for Azadeh Rezvan is 1508022781. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Q: What is Azadeh Rezvan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Azadeh Rezvan was last updated on August 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 06, 2008PECOS Enrolled

10100 SE SUNNYSIDE RD, MT TALERT MEDICAL OFFICE, DIVISION OF UROGYNECOLOGY, CLACKAMAS, OR 97015(503) 652-2880 Get Directions Write a Review

NPPES record last updated: August 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Azadeh Rezvan M.d. NPPES

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

AZADEH REZVAN M.D. (NPI 1508022781) is an individual urogynecology and reconstructive pelvic surgery provider in Clackamas, Oregon, licensed in Oregon (MD171989) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508022781

Entity TypeIndividualFemale

Primary Taxonomy207VF0040X

Provider Legal NameAZADEH REZVANCredential: M.D.

Location Address10100 SE SUNNYSIDE RD, MT TALERT MEDICAL OFFICE, DIVISION OF UROGYNECOLOGYClackamas, OR 97015-8970

Mailing Address10100 Se Sunnyside Rd. Mt Talbert Medical Office,, Department Of Ob/gyn, Division Of UrogynecologyClackamas, OR 97015 · (503) 652-2880

Phone(503) 652-2880

Sole ProprietorYes

Enumeration DateAugust 6, 2008

Last NPPES UpdateAugust 25, 2015

✔ NPI 1508022781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in OR · MD171989

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10100 SE SUNNYSIDE RD, Clackamas, OR 97015

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azadeh Rezvan M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

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.

LOREN EDWARD JENKINS M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 786-8435

JENNIFER MATTSON M.D.

Internal Medicine (Cardiovascular Disease)

10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (800) 813-2000

HEATHER BUFFORD CRUMMETT M.D.

Obstetrics & Gynecology

10100 SE SUNNYSIDE RD, MOUNT TALBERT MEDICAL OFFICE
CLACKAMAS, OR 97015

Clackamas County (503) 571-8163

MRS. TAMI RACHEL COCHRAN PTA

Physical Therapy Assistant

10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 666-7736

CANDY CHAU

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

10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (866) 280-1228

HEATHER CAREY RN

Registered Nurse (Ambulatory Care)

10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 813-2000

ALLYSON ADAMS

Family Medicine

10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (800) 813-2000

KELLY ELIZABETH JACKSON PT, DPT

Physical Therapist (Orthopedic)

10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015

Clackamas County (503) 813-2000

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 Azadeh Rezvan's NPI number?

The NPI number for Azadeh Rezvan is 1508022781. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is Azadeh Rezvan located?

Azadeh Rezvan practices at 10100 SE Sunnyside Rd Mt Talert Medical Office, Division Of Urogynecology, Clackamas, OR 97015. The listed phone number is (503) 652-2880.

What is Azadeh Rezvan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Azadeh Rezvan enrolled in Medicare?

Yes. Azadeh Rezvan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Azadeh Rezvan was last updated on August 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.