DR. SANDRA IRAGORRI IRAGORRI (M.D.) – Pediatric Nephrology Physician, NPI 1912982463

DR. SANDRA IRAGORRI IRAGORRI (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in PEDIATRIC MEDICINE, NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. MD166290 (OR). The NPI Number for DR. SANDRA IRAGORRI IRAGORRI (M.D.) is 1912982463

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANDRA IRAGORRI IRAGORRI (M.D.)
NPI
1912982463
Phone
(503) 494-8311
Address
3181SWSAM JACKSON PARK RD
Enumeration Date
7 December 2005
Last Update Date
18 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413462604
Graduation Year
1982 (44 years ago)
PAC ID
9436161692
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20100312001029
Address ID
OR975048332ME2825XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

414 PEDIATRIC MEDICINE in CT

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Provider Addresses for DR. SANDRA IRAGORRI IRAGORRI (M.D.)

  • 3181SWSAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-8311

    Type: Mailing

  • Yale New Haven Hospital, 20, York Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States

    YNHH CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR

    NEW HAVEN, CT 065103220

    Phone: (203) 785-4643

    Fax: (203) 785-3482

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2023-11-03 • Largest payer in this snapshot: Outset Medical Inc ($75).

Total Amount

$75

General + Research + Ownership

Payments

2

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Outset Medical Inc$75
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: 2010-03-12

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
I20100312001029IPediatric MedicineORTBD

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 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 NPI should I save for DR. SANDRA IRAGORRI IRAGORRI (M.D.)?
Save NPI 1912982463 if you need a stable reference for DR. SANDRA IRAGORRI IRAGORRI (M.D.).
Does this profile mean DR. SANDRA IRAGORRI IRAGORRI (M.D.) is currently active?
Yes — DR. SANDRA IRAGORRI IRAGORRI (M.D.) appears active in the national provider directory.
What kind of provider is DR. SANDRA IRAGORRI IRAGORRI (M.D.)?
The page reflects Pediatric Nephrology Physician for DR. SANDRA IRAGORRI IRAGORRI (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SANDRA IRAGORRI IRAGORRI (M.D.)?
The page summarizes Portland, Oregon for DR. SANDRA IRAGORRI IRAGORRI (M.D.); expand the address list for detail.
How can I contact DR. SANDRA IRAGORRI IRAGORRI (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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