Fardowsa Shariff Idris, PHYSICIAN ASSISTANT
NPI 1609419225ActiveIndividual· Physician Assistant· Tualatin, OR
Physician Assistant (PHYSICIAN ASSISTANT) with Sound Pain Alliance, practicing in Tualatin, Oregon. Their prescriptions cost Medicare Part D more than their services did: $171,490 for 3,369 claims, against $61,081 paid for services in 2024. Boston Scientific Corporation was the largest of 7 companies reporting payments in 2025, $355.20 in all, mostly food and beverage. Lists Valley Medical Center as a hospital affiliation.
Overview
| NPI | 1609419225 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICIAN ASSISTANT |
| Sole proprietor | Yes |
| NPI issued | Oct 27, 2019 |
| Last updated in NPPES | Dec 11, 2020 |
| Certified by provider | Dec 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 202128 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 105 |
|---|---|
| Services billed | 716 across 12 procedure codes |
| Paid by Medicare | $61,081 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,369 · 3,586 30-day fills |
|---|---|
| Patients | 334 |
| Total drug cost | $171,490 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Sound Pain AllianceLakewood, WA · 46 clinicians
Hospital affiliation
- Valley Medical CenterRenton, WA
Industry payments (Open Payments)
- 2025$355.20 · 13 payments from 7 companies
- 2024$298.70 · 9 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $112.86 | 2 |
| Globus Medical, Inc. | $112.54 | 5 |
| Spr Therapeutics, Inc | $41.12 | 2 |
| Fidia Pharma USA Inc. | $25.48 | 1 |
| Vertex Pharmaceuticals Incorporated | $25.46 | 1 |
What the 2025 payments were for
- Food and Beverage$355.20 · 13 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Tualatin
- 1104597178
- 1679347843
- 1346834363
- 1003807884
- 1619445715
- 1194356915
- 1740498120
- 1356506943
- 1689666844
- 1457689176
- 1821749466
- 1609408012