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DIA HAZRA MD
NPI 1912438953
Pediatrics in Beaverton, OR

Active since March 22, 2017PECOS Enrolled
4855 SW WESTERN AVE, BEAVERTON, OR 97005(503) 939-8317 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2023, Sep 8, 2020, Jul 15, 2020 and 2 more (5 updates tracked since 2017).

About Dia Hazra Md NPPES

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

DIA HAZRA MD (NPI 1912438953) is an individual pediatrics provider in Beaverton, Oregon, licensed in Oregon (198701) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912438953
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDIA HAZRACredential: MD
Location Address4855 SW WESTERN AVEBeaverton, OR 97005-3460
Mailing Address4855 Sw Western AveBeaverton, OR 97005-3460
Phone(503) 939-8317
Sole ProprietorNo
Enumeration DateMarch 22, 2017
Last NPPES UpdateMay 26, 20235 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
✔ NPI 1912438953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in OR · 198701✔ Licensed in WA · 60756769
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4855 SW WESTERN AVE, Beaverton, OR 97005
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Secondary Practice Locations 2

Location 14800 Sand Point Way NE, OC 7.830Seattle, WA 98105-3901 · Phone (206) 987-2525
Location 23181 SW Sam Jackson Park RdPortland, OR 97239-3098 · Phone (503) 939-8317

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dia Hazra Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dia Hazra reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaverton Rehab & Specialty Care, LLC
1.0 mi
Skilled Nursing Facility
11850 SW ALLEN BLVD
Beaverton, OR 97005
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1184786527 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1366469330 (503) 646-7164
University Professional Services
4.8 mi
General Practice
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1376709535 (503) 494-8311
Salem Health
24 mi
Family Medicine
105 ARNEY RD STE 120
Woodburn, OR 97071
  • Reassigned Medicare billing, Oregon enrollment
  • 625 clinicians in this Medicare group
NPI 1578112066 (503) 184-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 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 20

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

MRS. RANDEEP KAUR DA
Dental Assistant
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 626-4148
CHANNA V HANG PA
Physician Assistant
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 813-2000
MEDHA CHUNDURU MD
Family Medicine
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (800) 813-2000
MARYLOU STRONG
Physical Therapist
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 520-4950
BRADLEY RAY PLANT DPT, CSCS
Physical Therapist
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (800) 813-2000
AMANDA ANDERSEN
Internal Medicine
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 813-2000
TINA TRUONG
Dental Hygienist
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (800) 213-2000
SANDRA MEACHAM REED M.D.
Obstetrics & Gynecology
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 643-7565

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 Dia Hazra's NPI number?

The NPI number for Dia Hazra is 1912438953. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Dia Hazra located?

Dia Hazra practices at 4855 SW Western Ave, Beaverton, OR 97005. The listed phone number is (503) 939-8317.

What is Dia Hazra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Dia Hazra enrolled in Medicare?

Yes. Dia Hazra is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dia Hazra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dia Hazra reassigns Medicare benefits to 3 organizations: Beaverton Rehab & Specialty Care, LLC (Beaverton, OR), University Professional Services (Portland, OR) and Salem Health (Woodburn, OR). Each 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 Dia Hazra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dia Hazra was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.