SOROUSH AMALI
NPI 1861846578
Dentist - General Practice in Portland, OR

Q: What is Soroush Amali's NPI number?

The NPI number for Soroush Amali is 1861846578. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Q: What is Soroush Amali's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Soroush Amali was last updated on November 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2016PECOS Enrolled

7201 N INTERSTATE AVE, PORTLAND, OR 97217(503) 286-6868 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Soroush Amali NPPES

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

SOROUSH AMALI (NPI 1861846578) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D10530) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1861846578

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSOROUSH AMALI

Location Address7201 N INTERSTATE AVEPortland, OR 97217-5523

Mailing Address2730 Sw Moody AvePortland, OR 97201-5042

Phone(503) 286-6868

Sole ProprietorNo

Enumeration DateApril 19, 2016

Last NPPES UpdateNovember 2, 2020

NPPES CertifiedNovember 2, 2020

✔ NPI 1861846578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D10530

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7201 N INTERSTATE AVE, Portland, OR 97217

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Secondary Practice Location 1

Location 12730 SW Moody AvePortland, OR 97201-5042 · Phone (503) 544-7573

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Soroush Amali is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97217 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

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

PETER CHRISTOPHER BRYANT LPC, LMHC

Counselor (Mental Health)