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FARDOWSA SHARIFF IDRIS PHYSICIAN ASSISTANT
NPI 1609419225
Physician Assistant in Tualatin, OR

Active since October 27, 2019PECOS EnrolledAccepts Medicare Assignment
59.95/100
CMS Quality Rating
19255 SW 65TH AVE STE 200, TUALATIN, OR 97062(503) 828-1150(503) 828-1160 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2020, Aug 12, 2020, Oct 27, 2019 (3 updates tracked since 2019).

About Fardowsa Shariff Idris Physician Assistant NPPES

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

FARDOWSA SHARIFF IDRIS PHYSICIAN ASSISTANT (NPI 1609419225) is an individual physician assistant in Tualatin, Oregon, licensed in Oregon (202128) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609419225
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameFARDOWSA SHARIFF IDRISCredential: PHYSICIAN ASSISTANT
Location Address19255 SW 65TH AVE STE 200Tualatin, OR 97062-9712
Mailing Address19255 Sw 65th Ave Ste 200Tualatin, OR 97062-9712 · (503) 828-1150 · Fax (503) 828-1160
Phone(503) 828-1150
Fax(503) 828-1160
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 27, 2019
Last NPPES UpdateDecember 11, 20203 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
✔ NPI 1609419225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · 202128
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
19255 SW 65TH AVE STE 200, Tualatin, OR 97062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fardowsa Shariff Idris Physician Assistant 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.

PECOS PAC ID1153734447
PECOS Enrollment IDI20230110002675
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
438 services93 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
74 services56 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
46 services39 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
28 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97062 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
$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.

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.

59.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.34
Promoting Interoperability37
Improvement Activities40
Cost43.65

Other Providers at the Same Location NPPES 6

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

JOHN MASON DEPASSE M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
19255 SW 65TH AVE STE 200
TUALATIN, OR 97062
Washington County (503) 828-1150
ZACHARY JAMES KNIGHT PA-C
Physician Assistant
19255 SW 65TH AVE STE 200
TUALATIN, OR 97062
Washington County (503) 828-1150
KELSEY LYNN GRETZINGER PA-C
Physician Assistant
19255 SW 65TH AVE STE 200
TUALATIN, OR 97062
Washington County (503) 828-1150
ERIC NGUYEN PA-C
Physician Assistant
19255 SW 65TH AVE STE 200
TUALATIN, OR 97062
Washington County (503) 828-1150
J. MASON DEPASSE, MD, PC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
19255 SW 65TH AVE STE 200
TUALATIN, OR 97062
Washington County (713) 870-8355
ROBERT L TATSUMI MD PC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
19255 SW 65TH AVE STE 200
TUALATIN, OR 97062
Washington County (503) 828-1150

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 Fardowsa Idris's NPI number?

The NPI number for Fardowsa Idris is 1609419225. It was assigned to this individual provider in the NPPES registry on October 27, 2019.

Where is Fardowsa Idris located?

Fardowsa Idris practices at 19255 SW 65th Ave Ste 200, Tualatin, OR 97062. The listed phone number is (503) 828-1150.

What is Fardowsa Idris's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Fardowsa Idris enrolled in Medicare?

Yes. Fardowsa Idris 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.

What insurance does Fardowsa Idris accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Fardowsa Idris 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 Fardowsa Idris affiliated with any hospitals?

According to CMS data, Fardowsa Idris is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Fardowsa Idris was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.