DR. AJAY WANCHU MD
NPI 1528295557
Internal Medicine - Rheumatology in Portland, OR
About Dr. Ajay Wanchu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AJAY WANCHU MD (NPI 1528295557) is an individual rheumatology provider in Portland, Oregon, licensed in Oregon (MD160711) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Mid-columbia Medical Center, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Ajay Wanchu 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 Ajay Wanchu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97216
- Reassigned Medicare billing, Oregon enrollment
- 137 clinicians in this Medicare group
Portland, OR 97216
- Reassigned Medicare billing, Oregon enrollment
- 331 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 7
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mid-Columbia Medical Center
Acute Care Hospitals · The Dalles, OROhsu Hospital And Clinics
Acute Care Hospitals · Portland, ORAdventist Health Portland
Acute Care Hospitals · Portland, ORPhysician 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.
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 Ajay Wanchu's NPI number?
The NPI number for Ajay Wanchu is 1528295557. It was assigned to this individual provider in the NPPES registry on June 17, 2009.
Where is Ajay Wanchu located?
Ajay Wanchu practices at 3181 SW Sam Jackson Park Rd # Op09, Portland, OR 97239. The listed phone number is (503) 494-8963.
What is Ajay Wanchu's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Ajay Wanchu enrolled in Medicare?
Yes. Ajay Wanchu 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 Ajay Wanchu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Wanchu reassigns Medicare benefits to 2 organizations: Portland Adventist Medical Center (Portland, OR) and Portland Adventist Medical Center (Portland, OR). 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 Ajay Wanchu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ajay Wanchu accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Ajay Wanchu 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 Ajay Wanchu affiliated with any hospitals?
According to CMS data, Ajay Wanchu is affiliated with Mid-Columbia Medical Center, Ohsu Hospital And Clinics and Adventist Health Portland.
When was this NPI record last updated?
The NPPES record for Ajay Wanchu was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Ajay Wanchu, MD · NPI 1528295557
Rheumatology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 17, 2009.
## Identity
- **NPI:** 1528295557 (Entity type: Individual)
- **Enumerated:** June 17, 2009
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** MD160711 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD # OP09, Portland, OR 97239-3011
- **Phone:** (503) 494-8963 · **Fax:** (503) 494-1022
## 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): Portland Adventist Medical Center (NPI 1215910302, Portland, OR); Portland Adventist Medical Center (NPI 1437925310, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1528295557) · Data from the CMS NPPES public registry.