Karthik P Mahadevan (NPI# 1144285263, PAC ID# 5799749552) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1144285263 |
| PAC ID by PECOS | 5799749552 |
| Professional Enrollment ID | I20060815000155 |
| Full Name | Karthik P Mahadevan |
| Organization Legal Name | NORTHWEST INTENSIVISTS, LLC |
| Address |
3355 Riverbend Dr Suite 240 Springfield OR 97477-8800 |
| Phone Number | 5416871712 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1994 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 4688828593 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380102 | SACRED HEART MEDICAL CENTER - RIVERBEND |
| 380020 | MCKENZIE-WILLAMETTE MEDICAL CENTER |
| 380090 | BAY AREA HOSPITAL |
| 381316 | PEACE HARBOR MEDICAL CENTER |
| 380033 | SACRED HEART UNIVERSITY DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 | 5416871712 | NORTHWEST INTENSIVISTS, LLC |
| 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 | OREGON LUNG SPECIALISTS, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 96% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | NORTHWEST INTENSIVISTS, LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime M Fair | Critical Care (intensivists) | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Jarrod D Hemmer | Nurse Practitioner | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Matthew B Walter | Pulmonary Disease | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Rebecca Milligan | Critical Care (intensivists) | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Richard L Lari | Critical Care (intensivists) | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Sarah Elizabeth Kuzma | Physician Assistant | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Diana Franco Hansen | Critical Care (intensivists) | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Rachel A Daniels | Nurse Practitioner | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Colleen N Kersh | Critical Care (intensivists) | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Vanessa R Kizzier-carnahan | Internal Medicine | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Street Address |
3355 RIVERBEND DR SUITE 240 |
| City | SPRINGFIELD |
| State | OR |
| Zip | 97477-8800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime M Fair | Critical Care (intensivists) | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Donald K Yang | Gastroenterology | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Jarrod D Hemmer | Nurse Practitioner | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Terrence C Lee | Gastroenterology | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Matthew B Walter | Pulmonary Disease | Northwest Intensivists, LLC | 3355 Riverbend Dr, Suite 240, Springfield, OR 97477-8800 |
| Daniel A Cusati Oropeza | General Surgery | Northwest Surgical Specialists LLP | 3355 Riverbend Dr, Suite 300, Springfield, OR 97477-8800 |
| Heidi Marie Semple | Nurse Practitioner | Northwest Surgical Specialists LLP | 3355 Riverbend Dr, Suite 300, Springfield, OR 97477-8800 |
| Mallory Lynn Fillmore | Physician Assistant | Eugene Gastroenterology Consultants PC | 3355 Riverbend Dr, Suite 500, Springfield, OR 97477-8800 |
| Winnie W Henderson | General Surgery | Northwest Surgical Specialists LLP | 3355 Riverbend Dr, Suite 300, Springfield, OR 97477-8800 |
| Nichole Ingalls | General Surgery | Northwest Surgical Specialists LLP | 3355 Riverbend Dr, Suite 300, Springfield, OR 97477-8800 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas P Trezona | Surgical Oncology | Cascade Surgical Oncology PC | 3783 International Ct, Suite 200, Springfield, OR 97477-1025 |
| Sydney Katherine Johnstone | Physician Assistant | Cascade Surgical Oncology PC | 3783 International Ct, Suite 200, Springfield, OR 97477-1025 |
| Jason R Oilar | Optometry | 3783 International Ct, Suite 160, Springfield, OR 97477-1025 | |
| Deven L Smith | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Lauren A Hammock | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Denis M Mccarthy | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| John Paul Ditomasso | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| David Scott Meyers | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Lamont A Wettstein | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Joe Robert Mcfarlane | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Find all physicians in zip 97477 | |||
| City | SPRINGFIELD |
| Zip Code | 97477 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | SPRINGFIELD + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Karthik P Mahadevan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.