NIMA NABAVIZADEH (MD) – Radiation Oncology Physician, NPI 1538453741

NIMA NABAVIZADEH (MD) is a healthcare provider. based in Portland, Oregon. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD173558 (OR). The NPI Number for NIMA NABAVIZADEH (MD) is 1538453741

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
NIMA NABAVIZADEH (MD)
NPI
1538453741
Phone
(503) 494-8756
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
6 June 2011
Last Update Date
8 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
5034948311
Graduation Year
2011 (15 years ago)
PAC ID
4587819123
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20160802002662
Address ID
OR972393011PO3181XRDXX600
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

111 RADIATION ONCOLOGY in OR

Provider Addresses for NIMA NABAVIZADEH (MD)

  • 3181 SW SAM JACKSON PARK RD

    KPV4

    PORTLAND, OR 972393011

    Phone: (503) 494-8756

    Type: Mailing

  • 1775 Thompson Rd

    Coos Bay, OR 974202125

    Phone: (541) 269-8111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-02-02 • Largest payer in this snapshot: Exact Sciences Corporation ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160802002662IRadiation OncologyORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields414125$0
77300Calculation of radiation therapy dose12635$0
77334Design and construction of complex radiation treatment device11064$0
77427Radiation treatment management, 5 treatment sessions9456$0
77263Complex radiation therapy planning5049$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

What is NIMA NABAVIZADEH (MD)'s NPI number?
NIMA NABAVIZADEH (MD)'s NPI is 1538453741 — the number used across U.S. healthcare to identify this provider.
Is NIMA NABAVIZADEH (MD) still an active registrant?
NIMA NABAVIZADEH (MD) carries an active NPI according to the public dataset.
What area of care is associated with NIMA NABAVIZADEH (MD)?
NIMA NABAVIZADEH (MD)'s record emphasizes Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Is NIMA NABAVIZADEH (MD) located near Portland?
NIMA NABAVIZADEH (MD) currently maps to Portland, Oregon in this extract.
When was this NPI issued?
Enumeration for NIMA NABAVIZADEH (MD) is noted as June 6, 2011 where the registry provides it.

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