DR. ELIZABETH BRODSKY PORTIN DO
NPI 1932638111
Pediatrics in Berkeley, CA

Q: What is Elizabeth Portin's NPI number?

The NPI number for Elizabeth Portin is 1932638111. It was assigned to this individual provider in the NPPES registry on June 9, 2017.

Q: What is Elizabeth Portin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Portin was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 09, 2017PECOS Enrolled

2500 MILVIA ST, BERKELEY, CA 94704(510) 504-5600(510) 506-7722 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2026, Jun 17, 2020, Jun 9, 2017 (3 updates tracked since 2017).

On this page

About Dr. Elizabeth Brodsky Portin Do NPPES

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

DR. ELIZABETH BRODSKY PORTIN DO (NPI 1932638111) is an individual pediatrics provider in Berkeley, California, licensed in California (20A24562) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1932638111

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. ELIZABETH BRODSKY PORTINCredential: DO

Location Address2500 MILVIA STBerkeley, CA 94704-2636

Mailing Address6701 Fannin St Ste 1710Houston, TX 77030-2616 · (832) 822-3658 · Fax (832) 825-3689

Phone(510) 504-5600

Fax(510) 506-7722

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 9, 2017

Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1932638111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · 20A24562✔ Licensed in IL · 125070842

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.

2500 MILVIA ST, Berkeley, CA 94704

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Secondary Practice Location 1

Location 16701 Fannin St Ste 1710Houston, TX 77030-2616 · Phone (832) 822-3658

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth Brodsky Portin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971908120

PECOS Enrollment IDI20260107001003

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

Medicare enrollment records show Elizabeth Portin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Bay Medical Foundation

5.0 mi

Multi-Specialty

12 CAMINO ENCINAS
Orinda, CA 94563

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1366898538 (510) 204-8180

Rush University Medical Center

1,834 mi

Internal Medicine

2011 YORK ROAD, 2ND FLOOR
Oak Brook, IL 60523

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Rush University Medical Group
2,169 clinicians in this Medicare group

NPI 1801375696 (630) 724-1310

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 94704 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

LAER E. HILLARY STREETER MD, MPH

Obstetrics & Gynecology

2500 MILVIA ST
BERKELEY, CA 94704

Alameda County (510) 204-5600

ANGELYN R THOMAS M.D.

Obstetrics & Gynecology

2500 MILVIA ST
BERKELEY, CA 94704

Alameda County (510) 204-5600

STEPHANIE MICHELLE TAI FNP, MSN, RN

Nurse Practitioner (Family)

2500 MILVIA ST
BERKELEY, CA 94704

Alameda County (510) 204-5600

ROXANNE FISCELLA, M.D.

Legal Medicine

2500 MILVIA ST, SUITE 116
BERKELEY, CA 94704

Alameda County (510) 843-0692

DR. THUY THI TRAN OD

Optometrist

2500 MILVIA ST, #208
BERKELEY, CA 94704

Alameda County (510) 548-6630

PETRA FROEHLICH LANDMAN MD

Pediatrics

2500 MILVIA ST
BERKELEY, CA 94704

Alameda County (510) 204-5600

RACHEL BUDKER MD

Obstetrics & Gynecology

2500 MILVIA ST
BERKELEY, CA 94704

Alameda County (510) 204-5600

DENISE MICHELLE OCHOA NP-C

Nurse Practitioner (Family)

2500 MILVIA ST
BERKELEY, CA 94704

Alameda County (510) 204-5521

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 Elizabeth Portin's NPI number?

The NPI number for Elizabeth Portin is 1932638111. It was assigned to this individual provider in the NPPES registry on June 9, 2017.

Where is Elizabeth Portin located?

Elizabeth Portin practices at 2500 Milvia St, Berkeley, CA 94704. The listed phone number is (510) 504-5600.

What is Elizabeth Portin's specialty?

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

Is Elizabeth Portin enrolled in Medicare?

Yes. Elizabeth Portin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Portin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Portin reassigns Medicare benefits to 2 organizations: Sutter Bay Medical Foundation (Orinda, CA) and Rush University Medical Center (Oak Brook, IL). 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 Elizabeth Portin'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 Elizabeth Portin was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.