NW DERMATOLOGY INSTITUTE
NPI 1679852396
Dermatology in Portland, OR

Q: What is NW Dermatology And Research Center, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since August 11, 2011

2525 NW LOVEJOY ST STE 400, PORTLAND, OR 97210(503) 223-1933 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2020, Apr 28, 2018 (2 updates tracked since 2018).

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About Nw Dermatology Institute NPPES

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

NW DERMATOLOGY INSTITUTE (NPI 1679852396) is a healthcare organization registered as a dermatology in Portland, Oregon and active in the NPI registry since August 2011. The organization lists Nisha Shah Desai, Owner, as its authorized official.

NPPES Registry Identity

NPI1679852396

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameNW DERMATOLOGY AND RESEARCH CENTER, LLC

Location Address2525 NW LOVEJOY ST STE 400Portland, OR 97210-2865

Mailing Address2525 Nw Lovejoy St Ste 400Portland, OR 97210-2865 · (503) 223-1933

Phone(503) 223-1933

Organization SubpartNo

Authorized OfficialNisha Shah DesaiOwner · (503) 223-1933

Enumeration DateAugust 11, 2011

Last NPPES UpdateMay 8, 20202 updates tracked since enumeration

NPPES CertifiedMay 8, 2020

✔ NPI 1679852396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

2525 NW LOVEJOY ST STE 400, Portland, OR 97210

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Other Names 1

Doing Business AsNw Dermatology Institute

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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)

Nw Dermatology Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to NW Dermatology Institute, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nisha Desai, MD

Dermatology

NPI 1265605984

2525 NW LOVEJOY ST STE 400
Portland, OR 97210

(503) 223-1933

✔ PECOS✔ Accepts MedicareSame address

Tamar Hajar, MD

Dermatology

NPI 1821401407

2525 NW LOVEJOY ST STE 400
Portland, OR 97210

(503) 223-1933

✔ PECOS✔ Accepts MedicareSame address

Janet Roberts, MD

Dermatology

NPI 1114078763

2525 NW LOVEJOY ST STE 400
Portland, OR 97210

(503) 223-1933

✔ PECOSSame address

Bert Tavelli, MD

Dermatology

NPI 1013918978

2525 NW LOVEJOY ST STE 400
Portland, OR 97210

(503) 223-1933

✔ PECOSSame address

Sheryl Horwitz, WHCNP

Nurse Practitioner

NPI 1043303902

2701 NW VAUGHN ST STE 205
Portland, OR 97210

(503) 227-4050

✔ PECOS✔ Accepts Medicare0.6 mi

Sabra Leitenberger, M.D.

Dermatology

NPI 1528250727

3303 SW BOND AVENUE CH 16D OHSU DERMATOLOGY
Portland, OR 97239

(503) 494-1375

✔ PECOS✔ Accepts Medicare2.7 mi

Source: 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 NW Dermatology And Research Center, LLC's NPI number?

The NPI number for NW Dermatology And Research Center, LLC is 1679852396. It was assigned to this organization in the NPPES registry on August 11, 2011. The provider is doing business as NW Dermatology Institute.

Where is NW Dermatology And Research Center, LLC located?

NW Dermatology And Research Center, LLC is located at 2525 NW Lovejoy St Ste 400, Portland, OR 97210. The listed phone number is (503) 223-1933.

What is NW Dermatology And Research Center, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is NW Dermatology And Research Center, LLC enrolled in Medicare?

Yes. NW Dermatology And Research Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through NW Dermatology And Research Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to NW Dermatology And Research Center, LLC. 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 Dermatology (5) and Nurse Practitioner (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does NW Dermatology And Research Center, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list NW Dermatology And Research Center, LLC 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 NW Dermatology And Research Center, LLC was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.