Individual provider Active NPI

Daniel Payton Sterba, M.D.

  • Psychiatry Physician
  • Beaverton, OR
National Provider Identifier
1013458371
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD192674 Issued in OR
Practice address
15455 NW Greenbrier Pkwy Ste 120
Beaverton, OR 97006-8115
Phone
(503) 476-1189
Fax
(866) 650-8756
NPI assigned
Mar 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD192674 OR Primary

Addresses

Primary practice location

15455 NW Greenbrier Pkwy Ste 120
Beaverton, OR 97006-8115

Mailing address

15455 NW Greenbrier Pkwy Ste 120
Beaverton, OR 97006-8115
Phone (503) 476-1189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD192674ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Northwest LLC Psychiatry Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://ehr.charmtracker.com/api/ehr/v1/fhir

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1013458371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 120",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068115",
            "telephone_number": "503-476-1189",
            "fax_number": "866-650-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 120",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068115",
            "telephone_number": "503-476-1189",
            "fax_number": "866-650-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERBA",
        "first_name": "DANIEL",
        "middle_name": "PAYTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-19",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD192674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.