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Dr. Paul Mitchell , MD

Pediatrics β€’ Portland, OR

Active NPI 1104455203 Individual Practitioner Male 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 1 additional practice-address record in Aurora, CO. 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

2020

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. Mitchell 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. Mitchell 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

282 active clinicians are listed under Pediatrics with a practice address in Portland, OR (874 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Portland

0.7% of these 282 clinicians have the CMS telehealth indicator.

6% of these 282 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: 2024-09-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OR MD215473

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

License # reported to NPPES CO DR.0073197

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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

ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20200702002342

Enrollment State Jurisdiction

OR

PECOS Control ID

3678996956

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

13123 E 16th Ave

Aurora, CO 800457106

Phone: 7207771234

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

10 Historical Events
πŸ“
Updated Practice Location September 18, 2024

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

🏒
Secondary Practice Location Registered September 18, 2024

Additional practice office at 13123 E 16th Ave, Aurora, CO 800457106

πŸ“
Updated Practice Location July 09, 2024

Registered at 13123 E 16TH AVE, AURORA, CO 800457106 (Tel: 7207771234)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2024

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: CO DR.0073197)

βœ…
NPI Profile Active April 02, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 02, 2020

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011 (Tel: 5034948652)

πŸ“
Business Mailing Address (Initial Record) April 02, 2020

Registered at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR 972393011

πŸ‘€
Provider Name / Credentials (Initial Record) April 02, 2020

Recorded as PAUL MITCHELL, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 02, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104455203
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2020
Last Update: September 18, 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.