DR. ITTAI BUSHLIN MD, PHD
NPI 1689017048
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Portland, OR

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-5856(503) 494-4953 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 2, 2019, Jul 12, 2018 (2 updates tracked since 2018).

  • Individual
  • Male
  • Years of Experience 14
  • Psychiatry & Neurology
  • Neurology with Special Qualifications in...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ITTAI BUSHLIN

This page provides the complete NPI Profile along with additional information for Ittai Bushlin, a provider established in Portland, Oregon with a medical specialization in Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1689017048 assigned on April 2013. The practitioner's primary taxonomy code is 2084N0402X with license number MD184036 (OR). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1689017048 Verify this NPI
Provider Name
DR. ITTAI BUSHLIN MD, PHD
Gender
Male
Entity Type
Individual
Location Address
3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239
Location Phone
(503) 494-5856
Location Fax
(503) 494-4953
Mailing Address
3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239
Mailing Phone
(503) 494-5856
Mailing Fax
(503) 494-4953
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
No
Enumeration Date
04-16-2013
Last Update Date
07-02-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology

Taxonomy Code
2084N0402X
Type
Allopathic & Osteopathic Physicians
License No.
MD184036
License State
OR
Taxonomy Description
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO
  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Ittai Bushlin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ittai Bushlin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 244471860

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190703002153

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $33.54 for a new patient copayment and $25.87 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97239 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.16
  • Minimum New Patient Price $58.99
  • Maximum New Patient Price $176.88
  • Average New Patient Copayment $33.54
  • Minimum New Patient Copayment $14.74
  • Maximum New Patient Copayment $44.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.51
  • Minimum Established Patient Price $19.32
  • Maximum Established Patient Price $144.79
  • Average Established Patient Copayment $25.87
  • Minimum Established Patient Copayment $4.83
  • Maximum Established Patient Copayment $36.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. ITTAI BUSHLIN MD, PHD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
3181 SW SAM JACKSON PARK RD, # L-102
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Nurse Practitioner (Family)
3181 SW SAM JACKSON PARK RD, CDW-EM
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAILCODE CDW-EM
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, # CDW
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAIL CODE: CDW-EM
PORTLAND, OR 97239
Emergency Medicine (Medical Toxicology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Urology (Pediatric Urology)
3181 SW SAM JACKSON PARK RD, PEDIATRIC UROLOGY CDW-6
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD, UHN 80
PORTLAND, OR 97239
Advanced Practice Midwife
3181 SW SAM JACKSON PARK RD, KPV7C
PORTLAND, OR 97239
Surgery (Trauma Surgery)
3181 SW SAM JACKSON PARK RD, L611
PORTLAND, OR 97239
Nurse Practitioner
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine (Rheumatology)
3181 SW SAM JACKSON PARK RD, OP09
PORTLAND, OR 97239
Urology (Pediatric Urology)
3181 SW SAM JACKSON PARK RD, CDW6
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD, MAIL CODE DC7P
PORTLAND, OR 97239
Anesthesiology
3181 SW SAM JACKSON PARK RD, UHS-2
PORTLAND, OR 97239
Pediatrics (Pediatric Infectious Diseases)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physician Assistant
3181 SW SAM JACKSON PARK RD, CARDIOLOGY @UHN62
PORTLAND, OR 97239
Nurse Anesthetist, Certified Registered
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689017048, enumerated as an "individual" on April 16, 2013.

The provider is located at 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 and the phone number is (503) 494-5856.

Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.