MONICA KUMARI SIKKA M.D.
NPI 1679685143
Internal Medicine - Infectious Disease in Portland, OR

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3181 SW SAM JACKSON PARK RD # L457, PORTLAND, OR 97239(503) 494-7735(503) 494-4264 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Sep 20, 2017 (2 updates tracked since 2017).

About Monica Kumari Sikka M.d. NPPES

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

MONICA KUMARI SIKKA M.D. (NPI 1679685143) is an individual infectious disease provider in Portland, Oregon, licensed in Oregon (184463) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1679685143
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMONICA KUMARI SIKKACredential: M.D.
Location Address3181 SW SAM JACKSON PARK RD # L457Portland, OR 97239-3011
Mailing Address115 Dansworth LnOak Ridge, TN 37830 · (312) 498-7038
Fax(503) 494-4264
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2003
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1679685143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OR · 184463
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036114203 (IL)
3181 SW SAM JACKSON PARK RD # L457, Portland, OR 97239

Secondary Practice Location 1

Location 1808 S Wood St # Mc735, University of Illinois ChicagoChicago, IL 60612-7300 · Phone (312) 996-3248 · Fax (312) 413-1657

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

Monica Kumari Sikka 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 ID1658371059
PECOS Enrollment IDI20170907003498
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Monica Sikka reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
Neurology
364 SE 8TH AVE STE 101
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 691 clinicians in this Medicare group
Psychiatric Hospital
335 SE 8TH AVE
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 185 clinicians in this Medicare group
Family Medicine
405 CHARLES ST
Mt Morris, IL 61054
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Infectious Disease)
3181 SW SAM JACKSON PARK RD # L457
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L457
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 Monica Sikka's NPI number?

The NPI number for Monica Sikka is 1679685143. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Monica Sikka located?

Monica Sikka practices at 3181 SW Sam Jackson Park Rd # L457, Portland, OR 97239. The listed phone number is (503) 494-7735.

What is Monica Sikka's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Monica Sikka enrolled in Medicare?

Yes. Monica Sikka 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 Monica Sikka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Sikka reassigns Medicare benefits to 4 organizations: University Professional Services (Portland, OR), Tuality Medical Group LLC (Hillsboro, OR), Tuality Healthcare (Hillsboro, OR) and Board Of Trustees Of The University Of Illinois (Mt Morris, IL). 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 Monica Sikka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Sikka accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Monica Sikka 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 Monica Sikka affiliated with any hospitals?

According to CMS data, Monica Sikka is affiliated with Ohsu Hospital And Clinics and Salem Hospital.

When was this NPI record last updated?

The NPPES record for Monica Sikka was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.