Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antony Mathew Poothullil, MD

Individual provider Ophthalmology Physician · NPI 1053418228

Antony Mathew Poothullil, MD is an Ophthalmology in Portland, Oregon. Graduated from Baylor College of Medicine in 1999, 27 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
27
Trained at
Baylor College of Medicine
Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3600 N Interstate Ave
Portland, OR 97227-1106
Phone: (503) 331-6330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD25979 (OR)
Ophthalmology Physician Taxonomy 207W00000X · Licence MD00045365 (WA)

Record details

NPI number1053418228
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESFebruary 4, 2022
Mailing address3600 N Interstate Ave, Portland, OR 97227-1106

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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