BOULDER CARE
NPI 1649838590
Family Medicine - Addiction Medicine in Portland, OR
About Boulder Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOULDER CARE (NPI 1649838590) is a healthcare organization registered as an addiction medicine in Portland, Oregon and active in the NPI registry since June 2019. The organization lists Pia Shivdasani, Vp Operations, Authorized Agent, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Boulder Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
176Medicare enrollment records show 176 clinicians reassign Medicare billing to Boulder Care, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 176Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Boulder Care Provider Group PA's NPI number?
The NPI number for Boulder Care Provider Group PA is 1649838590. It was assigned to this organization in the NPPES registry on June 4, 2019. The provider is doing business as Boulder Care.
Where is Boulder Care Provider Group PA located?
Boulder Care Provider Group PA is located at 111 SW Naito Pkwy Ste 200, Portland, OR 97204. The listed phone number is (888) 316-0451.
What is Boulder Care Provider Group PA's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Boulder Care Provider Group PA enrolled in Medicare?
Yes. Boulder Care Provider Group PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boulder Care Provider Group PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 176 clinicians in 7 Medicare specialties reassign their Medicare billing to Boulder Care Provider Group PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (146), Family Practice (17) and Addiction Medicine (7). Of these, 3 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Boulder Care Provider Group PA accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, BridgeSpan Health Company, Moda Health Plan, Inc. and Molina Healthcare and 3 other insurers list Boulder Care Provider Group PA 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.
When was this NPI record last updated?
The NPPES record for Boulder Care Provider Group PA was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Boulder Care · NPI 1649838590
Addiction Medicine organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since June 4, 2019.
## Identity
- **NPI:** 1649838590 (Entity type: Organization)
- **Enumerated:** June 4, 2019
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **Legal business name:** Boulder Care Provider Group Pa
- **Organization subpart:** No
- **Authorized official:** Pia Shivdasani, VP OPERATIONS, AUTHORIZED AGENT
## Practice location
- **Address:** 111 SW NAITO PKWY STE 200, Portland, OR 97204-3512
- **Phone:** (888) 316-0451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 176 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (146), Family Practice (17), Addiction Medicine (7); 3 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1649838590/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1649838590) · Data from the CMS NPPES public registry.