DR. AMIR SEAN NAGAVI (MD) – Emergency Medicine Physician, NPI 1184885030

DR. AMIR SEAN NAGAVI (MD) is a healthcare provider. based in Clackamas, Oregon. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 60400513 (WA). The NPI Number for DR. AMIR SEAN NAGAVI (MD) is 1184885030

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMIR SEAN NAGAVI (MD)
NPI
1184885030
Phone
(503) 652-2880
Address
10180 SE SUNNYSIDE RD
Enumeration Date
23 June 2008
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5036848252
Graduation Year
2008 (18 years ago)
PAC ID
2365611894
Group Practice PAC ID
0840640470
Professional Enrollment ID
I20140313000314
Address ID
WA980045712BE345XXNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:17State licenses:3Digital endpointsOther names

827 EMERGENCY MEDICINE in OR

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Provider Addresses for DR. AMIR SEAN NAGAVI (MD)

  • Kaiser Sunnyside Medical Center, 10180, Southeast Sunnyside Road, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States

    CLACKAMAS, OR 970158970

    Phone: (503) 652-2880

    Type: Location

  • 3930, Northeast Grand Avenue, King, Portland, Metro, Multnomah County, Oregon, 97212, United States

    PORTLAND, OR 972121106

    Phone:

    Type: Mailing

  • 800 ALDER ST

    SOUTH BEND, WA 985864900

    Phone: (360) 875-5526

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110817000698IEmergency MedicineTXTBD
I20140313000314IEmergency MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840640470View full group profile
NameSpecialtyState
Emergency MedicineWA
Physician AssistantNY
Physician AssistantWA
Physician AssistantOH
Emergency MedicinePA
Physician AssistantNY
Emergency MedicineTX
Emergency MedicineOR
Nurse PractitionerNV

Reviews

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Frequently asked questions

Where can patients find DR. AMIR SEAN NAGAVI (MD)'s NPI?
You can confirm DR. AMIR SEAN NAGAVI (MD) with NPI 1184885030; it appears in the national provider directory.
Does this profile mean DR. AMIR SEAN NAGAVI (MD) is currently active?
Yes — DR. AMIR SEAN NAGAVI (MD) appears active in the national provider directory.
What kind of provider is DR. AMIR SEAN NAGAVI (MD)?
The page reflects Emergency Medicine Physician for DR. AMIR SEAN NAGAVI (MD). Clinical services aligned with this taxonomy classification.
Where is DR. AMIR SEAN NAGAVI (MD)'s primary listing?
We display Clackamas, Oregon because that is what the record indicates for DR. AMIR SEAN NAGAVI (MD).
Is DR. AMIR SEAN NAGAVI (MD) a real provider?
This page reflects official NPPES data for NPI 1184885030. Always confirm identity and privileges with the practice and licensing boards.