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TALHA ADIL RAFEEQI MD
NPI 1629573555
Surgery in Portland, OR

Active since March 23, 2018PECOS EnrolledAccepts Medicare Assignment
4805 NE GLISAN ST STE 6N60, PORTLAND, OR 97213(503) 935-8379(503) 935-8894 Get Directions Write a Review

NPPES record last updated: September 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2025, Jul 24, 2019, Mar 23, 2018 (3 updates tracked since 2018).

About Talha Adil Rafeeqi Md NPPES

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

TALHA ADIL RAFEEQI MD (NPI 1629573555) is an individual surgery provider in Portland, Oregon, licensed in Oregon (MD220800) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629573555
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTALHA ADIL RAFEEQICredential: MD
Location Address4805 NE GLISAN ST STE 6N60Portland, OR 97213-2933
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 935-8379
Fax(503) 935-8894
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 23, 2018
Last NPPES UpdateSeptember 21, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2025
✔ NPI 1629573555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in OR · MD220800✔ Licensed in NJ · 000000000000✔ Licensed in NV · LL3253
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4805 NE GLISAN ST STE 6N60, Portland, OR 97213
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14805 NE Glisan St Ste 6N40Portland, OR 97213-2933 · Phone (503) 215-7230 · Fax (503) 215-6240
Location 29155 SW Barnes Rd Ste 735Portland, OR 97225-6634 · Phone (503) 935-8379 · Fax (503) 935-8894

Other Identifiers 1

Medicaid500853653OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Talha Adil Rafeeqi 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.

PECOS PAC ID1850627928
PECOS Enrollment IDI20250425000371
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.

Hospital Affiliations CMS Care Compare 5

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Columbia Memorial Hospital

Critical Access Hospitals · Astoria, OR
OwnershipProprietary
CMS Certification Number381320
Location2111 Exchange StreetAstoria, OR 97103 · Clatsop County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97213 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.

Other Providers at the Same Location NPPES 12

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

JON M GERRY M.D.
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 281-0561
DR. DANIEL DAVILA BRADLEY M.D.
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 935-8379
LAUREN ELIZABETH ORR MD
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 281-0561
CAROL LYNNE STICKER PA-C
Physician Assistant (Medical)
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 215-5526
DR. RODRIGO PEDRAZA ROSALES M.D.
Colon & Rectal Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 281-0561
DR. EPHRAIM SHIN-TIAN TANG MD
Transplant Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 281-0561
DR. CHET W HAMMILL MD
Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 281-0561
CAREY WICKHAM
Colon & Rectal Surgery
4805 NE GLISAN ST STE 6N60
PORTLAND, OR 97213
Multnomah County (503) 281-0561

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 Talha Rafeeqi's NPI number?

The NPI number for Talha Rafeeqi is 1629573555. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Talha Rafeeqi located?

Talha Rafeeqi practices at 4805 NE Glisan St Ste 6n60, Portland, OR 97213. The listed phone number is (503) 935-8379.

What is Talha Rafeeqi's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Talha Rafeeqi enrolled in Medicare?

Yes. Talha Rafeeqi 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 Talha Rafeeqi accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Talha Rafeeqi 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 Talha Rafeeqi affiliated with any hospitals?

According to CMS data, Talha Rafeeqi is affiliated with Providence St Vincent Medical Center, Legacy Good Samaritan Medical Center, Providence Portland Medical Center, Providence Milwaukie Hospital and Columbia Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Talha Rafeeqi was last updated on September 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.