DR. SAMUDYATHA SHIVALINGAPPA (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1841286960
Endocrinology, Diabetes & Metabolism Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,474 INTERNAL MEDICINE in OR
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Provider Addresses for DR. SAMUDYATHA SHIVALINGAPPA (M.D.)
1200, Northwest 23rd Avenue, Nob Hill, Northwest District, Portland, Multnomah County, Oregon, 97210, United States
PORTLAND, OR 972102906
Phone: (503) 413-7074
Fax: (503) 413-6769
Type: Mailing
OHSU Beaverton, 15700, Southwest Greystone Court, Nike Philip H. Knight Campus, Mortondale, Five Oaks/Triple Creek, Beaverton, Washington County, Oregon, 97006, United States
BEAVERTON, OR 970066011
Phone: (971) 262-9150
Fax: (971) 262-9151
Type: Location
582 S SUNNYVALE AVE
SUNNYVALE, CA 940866125
Phone: (408) 524-4116
Type: Location
325 DISTEL CIR
LOS ALTOS, CA 940221408
Phone:
Type: Mailing
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: 2024-04-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040512000005 | I | Internal Medicine | OR | TBD |
| I20240403003932 | I | Internal Medicine | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 182 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 122 | 86 | $0 |
Insurance plans in this area (ZIP 97210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| - | CA | |
| Hospitalist, Obstetrics/Gynecology | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| Internal Medicine | CA | |
| - | CA | |
| - | CA |
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