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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NINO KERASHVILI M.D.
NPI 1649723339
Pediatrics - Neurodevelopmental Disabilities in Portland, OR

Active since July 28, 2016PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(800) 452-3563(503) 494-4447 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 17, 2026, Aug 19, 2022 (2 updates tracked since 2022).

About Nino Kerashvili M.d. NPPES

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

NINO KERASHVILI M.D. (NPI 1649723339) is an individual neurodevelopmental disabilities provider in Portland, Oregon, licensed in Oregon (MD228547) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1649723339
Entity TypeIndividualFemale
Primary Taxonomy2080P0008X
Provider Legal NameNINO KERASHVILICredential: M.D.
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (800) 452-3563 · Fax (503) 494-4447
Phone(800) 452-3563
Fax(503) 494-4447
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 28, 2016
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1649723339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in OR · MD228547
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License LL39965 (SC)
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 2020021404 (MO)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Secondary Practice Location 1

Location 1660 S Euclid AveSaint Louis, MO 63110-1010 · Phone (314) 454-6120 · Fax (314) 454-2523

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health.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

Nino Kerashvili M.d. 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 ID7315329901
PECOS Enrollment IDI20230913004291
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

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

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Nino Kerashvili's NPI number?

The NPI number for Nino Kerashvili is 1649723339. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Where is Nino Kerashvili located?

Nino Kerashvili practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (800) 452-3563.

What is Nino Kerashvili's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Nino Kerashvili enrolled in Medicare?

Yes. Nino Kerashvili 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 Nino Kerashvili accept?

Health plans from Medica and Mending Health list Nino Kerashvili 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 Nino Kerashvili affiliated with any hospitals?

According to CMS data, Nino Kerashvili is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Nino Kerashvili was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.