Active NPI
James S Putnam, MD
- Vascular & Interventional Radiology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 13680
- Practice address
- 9205 SW Barnes Rd
Portland, OR 97225-6603 - Phone
- (503) 216-4830
- Fax
- (503) 216-4850
- NPI assigned
- Jan 27, 2006
- Last updated
- Sep 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 13680 | OR | Primary |
Addresses
Primary practice location
9205 SW Barnes Rd
Portland, OR 97225-6603
Mailing address
9400 SW Barnes Rd
Suite 307
Portland, OR 97225-6608
Phone (503) 292-9108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094680 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jputnam113149@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 45.93 of 100
- Quality
- 36.39
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.78 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 85.93
Merit-based Incentive Payment System (MIPS)
- Final score
- 45.94 of 100
- Quality
- 36.41
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13680 | OR | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Center for Medical Imaging LLC | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| TRG, LLC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Bridgeport Medical Imaging, LLC | Current | Accepting new patients | |
| Medical Imaging Group, LLC | Past | Accepting new patients | |
| Tanasbourne Radiology | Past | Accepting new patients |
Locations
10810 NE Cornell Rd
Ste 100
Hillsboro, OR 97124
Phone (503) 216-4399
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
9400 SW Barnes Rd
Ste 300
Portland, OR 97225
9400 SW Barnes Rd
Ste 307
Portland, OR 97225
18040 SW Lower Boones Ferry Rd
Ste 106
Tigard, OR 97224
Phone (503) 216-8400
Interoperability endpoints
- jputnam113149@oc.providencedirect.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Center for Medical Imaging-Bridgeport
- Diagnostic Radiology Physician
- Tigard, OR
- NPI 1922253525
-
- Diagnostic Radiology Physician
- Hillsboro, OR
- NPI 1275505448
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1467771121
-
- Radiology Clinic/Center
- Tigard, OR
- NPI 1043456643
-
- Specialist
- Aloha, OR
- NPI 1649242819
-
- Specialist
- Portland, OR
- NPI 1861464034
-
- Specialist
- Newberg, OR
- NPI 1942253687
-
dba Prov St. Vincent Medical Ctr
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
dba Providence Portland Medical Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1013988120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 SW BARNES RD",
"address_2": "SUITE 307",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256608",
"telephone_number": "503-292-9108",
"fax_number": "503-292-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9205 SW BARNES RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256603",
"telephone_number": "503-216-4830",
"fax_number": "503-216-4850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNAM",
"first_name": "JAMES",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "OR",
"license": "13680",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094680",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jputnam113149@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9205 SW Barnes Rd",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972256603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.