SAMARTH SHIVAKUMAR MATHAPATHI MD
NPI 1639668767
Internal Medicine - Rheumatology in Portland, OR

Active since May 03, 2018PECOS EnrolledAccepts Medicare Assignment
5050 NE HOYT ST STE 155, PORTLAND, OR 97213(503) 215-6819 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 27, 2023, May 3, 2018 (2 updates tracked since 2018).

About Samarth Shivakumar Mathapathi Md NPPES

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

SAMARTH SHIVAKUMAR MATHAPATHI MD (NPI 1639668767) is an individual rheumatology provider in Portland, Oregon, licensed in Oregon (MD203918) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Providence Willamette Falls Medical Center, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2018).

NPPES Registry Identity

NPI1639668767
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameSAMARTH SHIVAKUMAR MATHAPATHICredential: MD
Location Address5050 NE HOYT ST STE 155Portland, OR 97213-2956
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2018
Enumeration DateMay 3, 2018
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
NPI 1639668767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in OR · MD203918
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

5050 NE HOYT ST STE 155, Portland, OR 97213

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

Samarth Shivakumar Mathapathi 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 ID6103246533
PECOS Enrollment IDI20201023000406
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 4

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.
82 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services20 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas 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

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
$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
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
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 4

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

Internal Medicine (Rheumatology)
5050 NE HOYT ST STE 155
PORTLAND, OR 97213
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5050 NE HOYT ST STE 155
PORTLAND, OR 97213
Internal Medicine (Rheumatology)
5050 NE HOYT ST STE 155
PORTLAND, OR 97213
Internal Medicine (Rheumatology)
5050 NE HOYT ST STE 155
PORTLAND, OR 97213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639668767, enumerated as an "individual" on May 03, 2018.

The provider is located at 5050 NE HOYT ST STE 155 PORTLAND, OR 97213 and the phone number is (503) 215-6819.

Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.

Samarth Mathapathi is affiliated with: PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER, PROVIDENCE PORTLAND MEDICAL CENTER and PROVIDENCE MILWAUKIE HOSPITAL.