SHOSHANA MAXWELL DO
NPI 1669820080
Family Medicine in Portland, OR

Q: What is Shoshana Maxwell's NPI number?

The NPI number for Shoshana Maxwell is 1669820080. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Q: What is Shoshana Maxwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shoshana Maxwell was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment

12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2023, Aug 16, 2021, Aug 22, 2019 and 4 more (7 updates tracked since 2016).

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About Shoshana Maxwell Do NPPES

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

SHOSHANA MAXWELL DO (NPI 1669820080) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (DO193262) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Lincoln Memorial University Medical Department (2016).

NPPES Registry Identity

NPI1669820080

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHOSHANA MAXWELLCredential: DO

Location Address12360 E BURNSIDE STPortland, OR 97233-1042

Mailing Address211 Se Caruthers StPortland, OR 97214-4502 · (503) 224-1044 · Fax (971) 260-0355

Phone(971) 279-4800

Fax(971) 279-2051

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2016

Enumeration DateMay 26, 2016

Last NPPES UpdateJuly 29, 20257 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1669820080 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 · DO193262✔ Licensed in WA · OP60946753

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.

12360 E BURNSIDE ST, Portland, OR 97233

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Secondary Practice Location 1

Location 1703 NE Hancock StPortland, OR 97212-3955 · Phone (503) 230-9875 · Fax (503) 331-3441

Other Identifiers 2

Medicaid2061406WA

Medicaid500767655OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.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

Shoshana Maxwell Do 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 ID840586012

PECOS Enrollment IDI20250328000813

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 97233 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers11 claims11 services$176.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ANGEL T HIRSCH PCA/QMHP-C

Counselor