PACIFIC ALLERGY & ASTHMA
NPI 1992303317
Allergy & Immunology in Beaverton, OR

Active since October 16, 2020
5040 SW GRIFFITH DR STE 201, BEAVERTON, OR 97005(503) 486-4481(570) 243-0932 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 13, 2021, Oct 16, 2020 (2 updates tracked since 2020).

About Pacific Allergy & Asthma NPPES

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

PACIFIC ALLERGY & ASTHMA (NPI 1992303317) is a healthcare organization registered as an allergy & immunology in Beaverton, Oregon and active in the NPI registry since October 2020. The organization lists Alexander Chan Yu, Member, Owner, as its authorized official.

NPPES Registry Identity

NPI1992303317
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NamePACIFIC ALLERGY LLC
Location Address5040 SW GRIFFITH DR STE 201Beaverton, OR 97005-8721
Mailing AddressPo Box 10562Portland, OR 97296-0562
Fax(570) 243-0932
Organization SubpartNo
Authorized OfficialAlexander Chan YuMember, Owner · (503) 486-4481
Enumeration DateOctober 16, 2020
Last NPPES UpdateApril 13, 20212 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1992303317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
5040 SW GRIFFITH DR STE 201, Beaverton, OR 97005

Other Names 1

Doing Business AsPacific Allergy & Asthma

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Allergy & Asthma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20210308001943Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific Allergy & Asthma, which bills Medicare for the services this clinician delivers.

Clinician (1)

Allergy/Immunology
NPI 1760614283
5040 SW GRIFFITH DR STE 201
Beaverton, OR 97005
(503) 486-4481
✔ PECOS✔ Accepts MedicareSame address

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

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 Pacific Allergy LLC's NPI number?

The NPI number for Pacific Allergy LLC is 1992303317. It was assigned to this organization in the NPPES registry on October 16, 2020. The provider is doing business as Pacific Allergy & Asthma.

Where is Pacific Allergy LLC located?

Pacific Allergy LLC is located at 5040 SW Griffith Dr Ste 201, Beaverton, OR 97005. The listed phone number is (503) 486-4481.

What is Pacific Allergy LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Pacific Allergy LLC enrolled in Medicare?

Yes. Pacific Allergy LLC is registered in the Medicare PECOS enrollment system.

When is Pacific Allergy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pacific Allergy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to Pacific Allergy LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pacific Allergy LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Pacific Allergy LLC 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 Pacific Allergy LLC was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.