DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.) – Pulmonary Disease Physician, NPI 1720264476

DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.) is a healthcare provider. based in Beaverton, Oregon. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. MD161977 (OR). The NPI Number for DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.) is 1720264476

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.)
NPI
1720264476
Phone
(503) 297-3778
Address
11000 SW Stratus St Ste 310
Enumeration Date
11 January 2008
Last Update Date
21 April 2026

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
5032396673
Graduation Year
2005 (21 years ago)
PAC ID
5294800686
Group Practice PAC ID
2860390408
Professional Enrollment ID
I20130723000953
Address ID
OR972132990PO5050XHOYT302
Telehealth
Yes

Contacts

Secure Messaging
cc_otoc_pulmonology_west_front_desk12223305@oc.providencedirect.org
Secure Messaging
referringplmw@orclinic.direct-ct.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness95
Years active:18State licenses:1Other names

198 PULMONARY DISEASE in OR

Provider Addresses for DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.)

  • 11000 SW Stratus St Ste 310

    Beaverton, OR 970087144

    Phone: (503) 297-3778

    Fax: (503) 297-7853

    Type: Location

  • Cascadia Behavioral Healthcare Administrative Office, 847, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States

    SUITE 300

    PORTLAND, OR 972322684

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    Type: Mailing

  • 879 Providence Dr

    Newberg, OR 971327563

    Phone: (503) 297-3778

    Fax: (503) 297-7853

    Type: Location

  • 541 NE 20TH AVE STE 225

    PORTLAND, OR 972322895

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972256667

    Phone: (503) 297-3778

    Fax: (503) 297-7853

    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: 2013-07-23

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
I20130723000953IPulmonary DiseaseORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes455214$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7728$0
94729Test to examine how well the lungs exchange gases5050$0
94726Test to determine lung volumes using sensors4848$0
94060Test to measure expiratory airflow and volume changes before and after medication administration4545$0
View full utilization report →

Insurance plans in this area (ZIP 97008)

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Provider's Procedures

DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEOR94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration6562

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: 2860390408View full group profile
NameSpecialtyState
Physician AssistantOR
Pulmonary DiseaseOR
-OR
O T O L A R Y N G O L O G YOR
Internal Medicine, GastroenterologyOR
Gastroenterology, Internal MedicineOR
-OR
-OR
-OR
Physician AssistantOR

Reviews

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Frequently asked questions

Can I use this page to confirm DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.)'s NPI?
Yes. DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.) is listed with NPI 1720264476 in the public NPI dataset.
Can I rely on DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.) being an active provider?
As of the registry snapshot, DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.) is marked active.
What is DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.)'s primary classification?
Pulmonary Disease Physician is the headline specialty for DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.) on a map?
Expect Beaverton, Oregon as a primary anchor for DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.) unless the record lists multiple sites.
Is the information about DR. HATAYA KRISTY POONYAGARIYAGORN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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