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

Dr. Basheer Ahamad Kummangal, MD

Individual provider Internal Medicine Physician · NPI 1649621053

Dr. Basheer Ahamad Kummangal, MD is a Nephrology in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio and Oregon.

Years since qualifying
11
Licensed in
OH, OR
In the registry since
2016
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

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9500 Euclid Ave, Cleveland, OH 44195-0001 — (216) 444-2336

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD224247 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 57.027492 (OH)

Record details

NPI number1649621053
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 27, 2016
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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