Individual provider

Kavya Timmireddy, MD

Family Medicine Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Kavya Timmireddy, MD is a Family Medicine Physician in Portland, OR, registered under NPI 1174187892. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1700 NE 102ND AVE, Portland, OR 97220. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1700 NE 102ND AVE, Portland, OR 97220 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD61576903 WA Family Medicine Physician primary
MD222946 OR Family Medicine Physician

Licences are recorded in 2 states: WA, OR. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
0840694980

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Washington I20240809002006 Practitioner - Family Practice
Oregon I20250219003747 Practitioner - Family Practice

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. There are 2 separate enrolment records across 2 states (WA, OR). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Oregon and Washington. The practice address on file is in Portland, OR, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

OR Oregon practice address
Licence
MD222946
Specialty
Family Medicine Physician
Verify with the OR board →
WA Washington
Licence
MD61576903
Specialty
Family Medicine Physician
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician MD61576903 WA primary
390200000X Student in an Organized Health Care Education/Training Program NY
207Q00000X Family Medicine Physician MD222946 OR
390200000X Student in an Organized Health Care Education/Training Program

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1174187892 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 29, 2019
Last updatedSep 8, 2025
StatusActive
Sole proprietorNo
CredentialMD
Practice address 1700 NE 102ND AVE
Portland, OR 97220
(800) 813-2000
Mailing address 500 NE MULTNOMAH ST STE 100
Portland, OR 97232
This record was updated on Sep 8, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1174187892 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 7 4 1 8 7 8 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 5 4 2 8 5 8 9

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1174187892?
NPI 1174187892 is the National Provider Identifier assigned to Kavya Timmireddy, MD in Portland, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact Kavya Timmireddy, MD?
The phone number on file with NPPES is (800) 813-2000, last updated Sep 8, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kavya Timmireddy, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1174187892 a valid number?
Yes. 1174187892 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.