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

Samarth Shivakumar Mathapathi, MD

Individual provider Rheumatology Physician · NPI 1639668767

Samarth Shivakumar Mathapathi, MD is a Geriatric Medicine in Portland, Oregon. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
OR
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5050 NE Hoyt St Ste 155
Portland, OR 97213-2956
Phone: (503) 215-6819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1510 Division St Ste 170, Oregon City, OR 97045-2551 — (503) 215-6819

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence MD203918 (OR)

Record details

NPI number1639668767
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2018
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

Medicare enrollment

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

Medicare specialtyGERIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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