Look up the most recent NPI and PECOS records

David Roberto De Vela Nagarkatti-Gude

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3181 SW Sam Jackson Park Rd, L579, Portland, OR 97239-3011

PECOS Enrollment

This provider is enrolled in PECOS as DAVID NAGARKATTI-GUDE.

Based on the most recent information from CMS, provider David Roberto De Vela Nagarkatti-Gude is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1417374695
Provider Type
Individual
Full Name
Nagarkatti-Gude, David Roberto De Vela
Title
Dr.
Credential
M.D., PH.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/25/2014
Last Updated
5/1/2018

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, L579, Portland, OR 97239-3011

(804) 494-8211

Unlisted Fax

Mailing Location

3181 SW Sam Jackson Park Rd, L579, Portland, OR 97239-3011

(804) 494-8211

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD185789 Oregon

David Roberto De Vela Nagarkatti-Gude

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Beckley, Ethan

Kinzie, John David

Blekic, Amela

Schmick, Elizabeth Ann

Kinzie, John Mark

Bonney, Paul Matthew

Leung, Paul Kahing

Zhang, James

Kesserwani, Christie

Kothari, Jay S