PATAN GULTAWATVICHAI M.D.
NPI 1720335987
Internal Medicine - Hematology & Oncology in Portland, OR

Q: What is Patan Gultawatvichai's NPI number?

The NPI number for Patan Gultawatvichai is 1720335987. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Q: What is Patan Gultawatvichai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since August 07, 2012PECOS EnrolledAccepts Medicare Assignment

9495 SW LOCUST ST STE G, PORTLAND, OR 97223(971) 314-4522(971) 314-4527 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2024, Feb 16, 2023, Nov 17, 2020 and 1 more (4 updates tracked since 2018).

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About Patan Gultawatvichai M.d. NPPES

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

PATAN GULTAWATVICHAI M.D. (NPI 1720335987) is an individual hematology & oncology provider in Portland, Oregon, licensed in Oregon (MD221300) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1720335987

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NamePATAN GULTAWATVICHAICredential: M.D.

Location Address9495 SW LOCUST ST STE GPortland, OR 97223-6683

Mailing Address5 Neponset StWorcester, MA 01606-2714

Phone(971) 314-4522

Fax(971) 314-4527

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 7, 2012

Last NPPES UpdateNovember 27, 20244 updates tracked since enumeration

NPPES CertifiedNovember 27, 2024

✔ NPI 1720335987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in OR · MD221300✔ Licensed in MA · 274829

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

9495 SW LOCUST ST STE G, Portland, OR 97223

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Secondary Practice Locations 4

Location 15 Neponset StWorcester, MA 01606-2714 · Phone (508) 556-5400

Location 255 Lake Ave NWorcester, MA 01655 · Phone (508) 334-3550 · Fax (774) 442-6715

Location 32720 Commercial St SESalem, OR 97302-4495 · Phone (971) 314-4522 · Fax (971) 314-4527

Location 4275 Nichols RdFitchburg, MA 01420-1919 · Phone (978) 343-5048

Other Identifiers 1

Medicaid110115607AMA

Accepted Insurance

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

Patan Gultawatvichai 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 ID9931348695

PECOS Enrollment IDI20241002002058

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.

Areas of Expertise CMS Part B claims 17

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.

Injection, iron sucrose, 1 mg J1756

Iron sucrose injection is a treatment given to replenish iron in your body, often used when oral iron supplements are not effective. This helps your body make red blood cells, improving health and energy levels.

8,700 services27 patients

Injection, infliximab, excludes biosimilar, 10 mg J1745

Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.

1,470 services18 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

252 services17 patients

Injection of additional new drug or substance into vein 96375

This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.

120 services52 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

115 services80 patients

Injection, zoledronic acid, 1 mg J3489

Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.

112 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

80 services45 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

79 services41 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

64 services40 patients

Infusion into a vein for therapy, prevention, or diagnosis, each additional hour 96366

This procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.

58 services33 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

38 services38 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

37 services14 patients

Injection, diphenhydramine hcl, up to 50 mg J1200

Diphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.

36 services28 patients

Injection, hydrocortisone sodium succinate, up to 100 mg J1720

Hydrocortisone sodium succinate injection is a medication given to treat various conditions like allergies, skin conditions, arthritis, or breathing disorders. It works by reducing inflammation and the body's immune response. The dose, up to 100 mg, depends on your condition.

25 services16 patients

Unclassified drugs J3490

Unclassified drugs are medications that don't fit into an existing category or class due to their unique properties or uses. They may be used for various conditions and their effects may differ widely. Always ask your healthcare provider for more information about these drugs.

25 services21 patients

Injection of drug or substance into vein 96374

This procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.

24 services23 patients

Irrigation of implanted venous access drug delivery device 96523

Irrigation of an implanted venous access drug delivery device is a procedure to clean or unblock the device. This device is implanted under your skin to allow easy, frequent, and long-term access to your veins for medication delivery. The process involves flushing the device with a sterile solution to ensure it works properly.

13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220001

Location60 Hospital RoadLeominster, MA 01453 · Worcester County

Emergency services

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number380027

Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County

Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380089

Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 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

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

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.

Other Providers at the Same Location NPPES 4

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

ONCOLOGY INSTITUTE OR A PROFESSIONAL CORPORATION

Internal Medicine (Hematology & Oncology)

9495 SW LOCUST ST STE G
PORTLAND, OR 97223

Washington County (971) 314-4522

BERHANE MEBRATU NP

Nurse Practitioner

9495 SW LOCUST ST STE G
PORTLAND, OR 97223

Washington County (559) 321-2800

DR. ROBERT TAYLOR MATHESON M.D.

Specialist (Research Study)

9495 SW LOCUST ST STE G
PORTLAND, OR 97223

Washington County (503) 245-1525

ONCOLOGY INSTITUTE OR A PROFESSIONAL CORPORATION

Internal Medicine (Hematology & Oncology)

9495 SW LOCUST ST STE G
PORTLAND, OR 97223

Washington County (562) 735-3226

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 Patan Gultawatvichai's NPI number?

The NPI number for Patan Gultawatvichai is 1720335987. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Patan Gultawatvichai located?

Patan Gultawatvichai practices at 9495 SW Locust St Ste G, Portland, OR 97223. The listed phone number is (971) 314-4522.

What is Patan Gultawatvichai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Patan Gultawatvichai enrolled in Medicare?

Yes. Patan Gultawatvichai 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.

What insurance does Patan Gultawatvichai accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Patan Gultawatvichai 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 Patan Gultawatvichai affiliated with any hospitals?

According to CMS data, Patan Gultawatvichai is affiliated with Umass Memorial Healthalliance Hospitals, Mercy Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Patan Gultawatvichai was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.