SHIRIN NOURI GUENDSECHADZE MD
NPI 1861913964
Internal Medicine - Rheumatology in Portland, OR
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Shirin Nouri Guendsechadze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 1,186 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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.
Which organization bills Medicare for Shirin Nouri Guendsechadze's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shirin Nouri Guendsechadze reassigns Medicare benefits to Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shirin Nouri Guendsechadze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shirin Nouri Guendsechadze accept?
Health plans from Anthem Blue Cross and Blue Shield list Shirin Nouri Guendsechadze 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.
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.
# Shirin Nouri Guendsechadze, MD · NPI 1861913964
Rheumatology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 29, 2017.
## Identity
- **NPI:** 1861913964 (Entity type: Individual)
- **Enumerated:** June 29, 2017
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 69701 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD # L-579, Portland, OR 97239-3098
- **Phone:** (718) 918-5640
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Trinity Health Of New England Provider Network Organization Inc (NPI 1003882812, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 18, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1861913964) · Data from the CMS NPPES public registry.