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SHIDROKH TAEIDI DO
NPI 1780110205
Family Medicine in Hillsboro, OR

Active since May 03, 2017PECOS EnrolledAccepts Medicare Assignment
10670 NE CORNELL RD STE 300, HILLSBORO, OR 97124(503) 216-9300 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2021, Dec 15, 2020, Nov 4, 2020 and 1 more (4 updates tracked since 2017).

About Shidrokh Taeidi Do NPPES

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

SHIDROKH TAEIDI DO (NPI 1780110205) is an individual family medicine provider in Hillsboro, Oregon, licensed in Oregon (DO198909) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1780110205
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHIDROKH TAEIDICredential: DO
Location Address10670 NE CORNELL RD STE 300Hillsboro, OR 97124-9221
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 216-9300
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2017
Enumeration DateMay 3, 2017
Last NPPES UpdateJuly 14, 20254 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1780110205 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 · DO198909✔ Licensed in WA · OL60769782
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.
10670 NE CORNELL RD STE 300, Hillsboro, OR 97124
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Secondary Practice Location 1

Location 18329 SW Beaverton Hillsdale HwyPortland, OR 97225-2215 · Phone (503) 414-5160

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shidrokh Taeidi 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 ID5698046662
PECOS Enrollment IDI20200925000953
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 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.

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.
71 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah 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 97124 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.

Other Providers at the Same Location NPPES 11

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

LINDSAY KATE KUO PSYD
Psychologist (Clinical)
10670 NE CORNELL RD STE 300
HILLSBORO, OR 97124
Washington County (503) 216-9300
HEATHER N DAVIDSON PA-C
Physician Assistant
10670 NE CORNELL RD STE 300
HILLSBORO, OR 97124
Washington County (503) 216-9300
SOPHIA HANNAH STREITFELD PA-C
Physician Assistant
10670 NE CORNELL RD STE 300
HILLSBORO, OR 97124
Washington County (503) 216-9300
JUNGIN ELIZABETH LEE RN
Registered Nurse (Ambulatory Care)
10670 NE CORNELL RD STE 300
HILLSBORO, OR 97124
Washington County (503) 216-9300
JASON MICHAEL BAKER MD
Family Medicine
10670 NE CORNELL RD STE 300
HILLSBORO, OR 97124
Washington County (503) 216-9300
SEUNGEUN LEE PH.D
Psychologist (Clinical)
10670 NE CORNELL RD STE 300
HILLSBORO, OR 97124
Washington County (503) 216-9300
TRACI A ACKRON D.O.
Family Medicine
10670 NE CORNELL RD STE 300
HILLSBORO, OR 97124
Washington County (503) 216-9300
LYNN M VANTHOM P.A.-C
Physician Assistant
10670 NE CORNELL RD STE 300
HILLSBORO, OR 97124
Washington County (503) 216-9300

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 Shidrokh Taeidi's NPI number?

The NPI number for Shidrokh Taeidi is 1780110205. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Shidrokh Taeidi located?

Shidrokh Taeidi practices at 10670 NE Cornell Rd Ste 300, Hillsboro, OR 97124. The listed phone number is (503) 216-9300.

What is Shidrokh Taeidi's specialty?

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

Is Shidrokh Taeidi enrolled in Medicare?

Yes. Shidrokh Taeidi 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 Shidrokh Taeidi accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Shidrokh Taeidi 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 Shidrokh Taeidi affiliated with any hospitals?

According to CMS data, Shidrokh Taeidi is affiliated with Providence St Vincent Medical Center, Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Shidrokh Taeidi was last updated on July 14, 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.