1. Home
  2. Directory
  3. Oregon
  4. Clackamas
  5. Family Medicine
  6. NPI Profile

NATASHA LADANE REZVANI MD
NPI 1639708324
Family Medicine in Clackamas, OR

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 652-2888 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 9, 2024, Apr 3, 2020 (2 updates tracked since 2020).

About Natasha Ladane Rezvani Md NPPES

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

NATASHA LADANE REZVANI MD (NPI 1639708324) is an individual family medicine provider in Clackamas, Oregon, licensed in Oregon (MD219804) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639708324
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNATASHA LADANE REZVANICredential: MD
Location Address10100 SE SUNNYSIDE RDClackamas, OR 97015-8970
Mailing Address10100 Se Sunnyside RdClackamas, OR 97015-8970 · (503) 652-2888
Phone(503) 652-2888
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1639708324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · MD219804✔ Licensed in WA · MD.615698812
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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 and accepts Medicare assignment

Natasha Ladane Rezvani 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 ID8325571870
PECOS Enrollment IDI20241023001516, I20241023004250
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
$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
$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 20

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

DR. ROBERT LUDEMANN M.D. PH.D.
Surgery
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-3066
DR. YIICHIANG XXX KHAN M.D.
Orthopaedic Surgery
10100 SE SUNNYSIDE RD, KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE
CLACKAMAS, OR 97015
Clackamas County (503) 786-8435
BETSY RUTH LANGTON CNM
Registered Nurse (Women's Health Care, Ambulatory)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 786-8435
DR. THOMAS RODERICK TOAL JR. MD
Orthopaedic Surgery
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 786-8435
DR. STEVEN MATTHEW SANDOR M.B., CH.B.
Obstetrics & Gynecology
10100 SE SUNNYSIDE RD, KAISER PERMANENTE MT. TALBERT MEDICAL OFFICE
CLACKAMAS, OR 97015
Clackamas County (503) 285-9321
DR. STEPHEN FARRELL LIEBERMAN M.D.
Urology
10100 SE SUNNYSIDE RD, MT TALBERT MEDICAL OFFICE
CLACKAMAS, OR 97015
Clackamas County (503) 571-3787
DIANE MARIE KINTZ NP
Nurse Practitioner (Women's Health)
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 786-8435
ALEC JEFFREY KARTY D.O.
Family Medicine
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-5853

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 Natasha Rezvani's NPI number?

The NPI number for Natasha Rezvani is 1639708324. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Natasha Rezvani located?

Natasha Rezvani practices at 10100 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 652-2888.

What is Natasha Rezvani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Natasha Rezvani enrolled in Medicare?

Yes. Natasha Rezvani 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.

When was this NPI record last updated?

The NPPES record for Natasha Rezvani was last updated on October 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.