NINO KERASHVILI M.D.
NPI 1649723339
Pediatrics - Neurodevelopmental Disabilities in Portland, OR
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
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Nino Kerashvili reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 1,795 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, OKOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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.
Which organizations bill Medicare for Nino Kerashvili's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nino Kerashvili reassigns Medicare benefits to 2 organizations: University Professional Services (Portland, OR) and Ou Health Partners, Inc (Oklahoma City, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nino Kerashvili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nino Kerashvili accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Moda Health Plan, Inc. and Providence Health Plan 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 51 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.
# Nino Kerashvili, M.D. · NPI 1649723339
Neurodevelopmental Disabilities physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 28, 2016.
## Identity
- **NPI:** 1649723339 (Entity type: Individual)
- **Enumerated:** July 28, 2016
- **Primary specialty:** Pediatrics - Neurodevelopmental Disabilities · taxonomy 2080P0008X
- **State license:** MD228547 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (800) 452-3563 · **Fax:** (503) 494-4447
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Professional Services (NPI 1376709535, Portland, OR); Ou Health Partners, Inc (NPI 1528642642, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649723339) · Data from the CMS NPPES public registry.