HARSHAVARDHAN TATHIREDDY M.D – NPI #1366670994
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

HARSHAVARDHAN TATHIREDDY is a physician located in PORTLAND, OR. NPPES has assigned the NPI number 1366670994 to HARSHAVARDHAN TATHIREDDY on June 22, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was last updated on Oct 02, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HARSHAVARDHAN TATHIREDDY below.

NPI Profile for
HARSHAVARDHAN TATHIREDDY

NPI Number
1366670994
Enumeration Date

(about 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
HARSHAVARDHAN TATHIREDDY
Credentials
M.D
Primary location
3181 SW SAM JACKSON PARK RD, L-579
OC14HO , DEPT OF HEMATOLOGY AND ONCOLOGY
PORTLAND, OR 97239
Phone: (503) 494-8311 Fax:
3 Other location(s):
201 S 14th St
Herrin, IL 62948-3631
Phone: (618) 942-2171
2 S Hospital Dr
Murphysboro, IL 62966
Phone: (618) 684-3156
Fax: (618) 351-4895
Osf St Francis Medical Ctr
Peoria, IL 61637-0001
Phone: (309) 655-3863
Mailing address
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone: (708) 216-3323 Fax: (708) 216-4113
Sole Proprietor
No
Updated
Certification Date
Oct 02, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HARSHAVARDHAN TATHIREDDY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE GROUP PTANIL214881
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
IL 036130674
208M00000X
- Hospitalist
IL 036130674
207R00000X
- Internal Medicine
OR MD210372

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.