SHIRIN NOURI GUENDSECHADZE MD
NPI 1861913964
Internal Medicine - Rheumatology in Portland, OR

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD # L-579, PORTLAND, OR 97239(718) 918-5640 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2022, Jun 29, 2017 (2 updates tracked since 2017).

About Shirin Nouri Guendsechadze Md NPPES

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

SHIRIN NOURI GUENDSECHADZE MD (NPI 1861913964) is an individual rheumatology provider in Portland, Oregon, licensed in Connecticut (69701) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1861913964
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSHIRIN NOURI GUENDSECHADZECredential: MD
Location Address3181 SW SAM JACKSON PARK RD # L-579Portland, OR 97239-3098
Mailing Address3181 Sw Sam Jackson Park Rd # L-579Portland, OR 97239-3098 · (503) 494-8637
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 29, 2017
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
NPI 1861913964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CT · 69701
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3181 SW SAM JACKSON PARK RD # L-579, Portland, OR 97239

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

Shirin Nouri Guendsechadze Md 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 ID2365866811
PECOS Enrollment IDI20220727003397
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 3

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.
203 services87 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 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.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
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 20

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

Pediatrics
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Pediatrics
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD # L-579
PORTLAND, OR 97239

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 Shirin Nouri Guendsechadze's NPI number?

The NPI number for Shirin Nouri Guendsechadze is 1861913964. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Shirin Nouri Guendsechadze located?

Shirin Nouri Guendsechadze practices at 3181 SW Sam Jackson Park Rd # L-579, Portland, OR 97239. The listed phone number is (718) 918-5640.

What is Shirin Nouri Guendsechadze's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Shirin Nouri Guendsechadze enrolled in Medicare?

Yes. Shirin Nouri Guendsechadze 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.

When was this NPI record last updated?

The NPPES record for Shirin Nouri Guendsechadze was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.