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

Fouad Otaki, MD

Individual provider Gastroenterology Physician · NPI 1013229996

Fouad Otaki, MD is a Gastroenterology in Portland, Oregon. Qualified in 2009, 17 years ago. Practices with Gastroenterology Consultants PC, a 14-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Oregon.

Years since qualifying
17
Licensed in
MN, OR
In the registry since
2010
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

3303 SW Bond Ave Ste 6D
Portland, OR 97239-4501
Phone: (503) 494-4373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2860 Creekside Cir, Medford, OR 97504-8442 — (541) 789-8367

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD184561 (OR)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 60303 (MN)

Record details

NPI number1013229996
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2010
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Gastroenterology Consultants Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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