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Dr. Amanda Christine Scully , MD, FAAP

Pediatrics β€’ Portland, OR

Active NPI 1790216596 Individual Practitioner Female Practitioner
Practice location in NPPES

3181 Sw Sam Jackson Park Rd
Portland, OR 972393011

Call 5034185700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3181 Sw Sam Jackson Park Rd

Portland, OR 972393011

Telephone 5034185700
Fax 5034185704
Organization at the Same NPPES Address or Phone
Oregon Health & Science University Facility NPI 1609824010

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Houston, TX; Portland, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Scully has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Scully as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Portland and Oregon

274 active clinicians are listed under Pediatrics with a practice address in Portland, OR (862 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Portland

0.7% of these 274 clinicians have the CMS telehealth indicator.

5.8% of these 274 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OR MD219243

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.

Pediatrics - Child Abuse Pediatrics

NUCC Taxonomy Code: 2080C0008X

License # reported to NPPES TX S6036

A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.

Pediatrics - Child Abuse Pediatrics

NUCC Taxonomy Code: 2080C0008X

License # reported to NPPES OR MD219243

A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20240717003492

Enrollment State Jurisdiction

WA

PECOS Control ID

4789024407

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1 Hermann Museum Circle Dr Apt 4047

Houston, TX 770047388

Phone: 2108366325

2800 N Vancouver Ave Ste 201

Portland, OR 972271648

Phone: 5032769000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Matthew Abbott , PA-C

Physician Assistant - Medical

NPI 1154738003

Physician Assistant (Certified)

Rand Abedalweli

Internal Medicine

NPI 1265019996
Emad Aboujaoude , PA

Physician Assistant

NPI 1982619490

Physician Assistant

Dr. Cherrie Abraham , MD

Surgery - Vascular Surgery

NPI 1649658766

Doctor of Medicine (M.D.)

Diana Aby-Daniel , PA

Physician Assistant - Medical

NPI 1740516053

Physician Assistant

Lola Achilova , PA-C

Physician Assistant - Medical

NPI 1548546328

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location June 14, 2024

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034185700)

πŸ“
Updated Business Mailing Address June 14, 2024

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034185700)

πŸ“
Updated Practice Location April 15, 2024

Registered at 2800 N VANCOUVER AVE STE 201, PORTLAND, OR 972271648 (Tel: 5032769000)

πŸ“
Updated Business Mailing Address April 15, 2024

Registered at PO BOX 4399, PORTLAND, OR 972084399 (Tel: 5034133900)

πŸ“
Updated Practice Location January 23, 2024

Registered at 1 HERMANN MUSEUM CIRCLE DR APT 4047, HOUSTON, TX 770047388 (Tel: 2108366325)

πŸ“
Updated Business Mailing Address January 23, 2024

Registered at 1 HERMANN MUSEUM CIRCLE DR APT 4047, HOUSTON, TX 770047388 (Tel: 2107836635)

πŸ‘€
Provider Name / Credentials Updated January 23, 2024

Recorded as AMANDA SCULLY, MD, FAAP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2024

Pediatrics (license number reported to NPPES: TX S6036)

βœ…
NPI Profile Active March 23, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 23, 2017

Registered at 333 N SANTA ROSA ST, CCF - F3725, SAN ANTONIO, TX 782073108 (Tel: 2107043910)

πŸ“
Business Mailing Address (Initial Record) March 23, 2017

Registered at 333 N SANTA ROSA ST, CCF - F3725, SAN ANTONIO, TX 782073108 (Tel: 2107043910)

πŸ‘€
Provider Name / Credentials (Initial Record) March 23, 2017

Recorded as AMANDA SCULLY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 23, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790216596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2017
Last Update: June 14, 2024
Sole Proprietor: No

Other Pediatrics Specialists in Portland

All Pediatrics Specialists in Portland

Mailing Address

3181 Sw Sam Jackson Park Rd

Portland, OR 972393011

Phone: 5034185700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.