Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053418228 Individual Practitioner Male Practitioner

Dr. Antony Mathew Poothullil , MD

Ophthalmology • Portland, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Antony Poothullil, MD is a certified Ophthalmology practicing in Portland, OR. With approximately 27 years of clinical experience since graduating from Baylor College Of Medicine in 1999, Dr. Poothullil delivers high-quality medical care to the local community at 3600 N INTERSTATE AVE.

Dr. Poothullil is affiliated with Kaiser Foundation Health Plan Of The Northwest and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3600 N Interstate Ave

Portland, OR 972271106

Telephone 5033316330
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Portland, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +9.1 yrs vs City Avg
City Avg: 17.9 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
141 Specialists

Practicing in Portland, OR (341 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Poothullil (27 Years) 27 Yrs
Portland Specialty Average (17.9 Years) 17.9 Yrs

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OR MD25979

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License WA MD00045365

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Kaiser Foundation Health Plan Of The Northwest

19075 Nw Tanasbourne Dr, Hillsboro, OR 971245860

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

4855 Sw Western Ave, Beaverton, OR 970053460

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

10100 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

3600 N Interstate Ave, Portland, OR 972271106

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

3620 N Interstate Ave, Portland, OR 972271106

Phone: 8008132000

Kaiser Foundation Health Plan Of The Northwest

10180 Se Sunnyside Rd, Clackamas, OR 970158970

Phone: 8008132000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. John Koo , MD

Ophthalmology

NPI 1043356470

Doctor of Medicine (M.D.)

NPI 1548372717

Doctor of Optometry

NPI 1578664223

Doctor of Medicine (M.D.)

NPI 1629081435

Doctor of Medicine (M.D.)

NPI 1649380874

Doctor of Medicine (M.D.)

Karrie Bilyeu , OA

Technician/Technologist - Optometric Assistant

NPI 1669569372

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 3600 N INTERSTATE AVE, PORTLAND, OR 972271106 (Tel: 5033316330)

📍
Updated Business Mailing Address July 09, 2007

Registered at 3600 N INTERSTATE AVE, PORTLAND, OR 972271106 (Tel: 5033316330)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as ANTONY POOTHULLIL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Ophthalmology (License #MD25979 in OR)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053418228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: February 04, 2022
Sole Proprietor: No

Mailing Address

3600 N Interstate Ave

Portland, OR 972271106

Phone: 5033316330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.