Individual provider Active NPI

Diana Kathryn Boss, M.D.

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1023239407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD27265 Issued in OR
Practice address
9205 SW Barnes Rd
Suite Mt 2800
Portland, OR 97225-6603
Phone
(503) 216-2621
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD27265 OR Primary

Addresses

Primary practice location

9205 SW Barnes Rd
Suite Mt 2800
Portland, OR 97225-6603

Mailing address

9205 SW Barnes Rd
Suite Mt 2800
Portland, OR 97225-6603
Phone (503) 216-2621

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070725000094 OR Practitioner - Internal Medicine 5597866269 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Legacy Good Samaritan Hospital and Medical CenterGroup PAC ID 0547179939, 190 clinicians
Legacy Meridian Park HospitalGroup PAC ID 5092609842, 113 clinicians
Silverton HealthGroup PAC ID 8921901877, 147 clinicians
Legacy Emanuel Hospital and Health CenterGroup PAC ID 4587573639, 235 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074

1433 SE 1St Ave
Canby, OR 97013-6768
Phone (503) 525-7600

1475 Mount Hood Ave
Woodburn, OR 97071-9066
Phone (503) 982-2174

19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 413-4330

1960 NW 167TH PL
Suite 100
Beaverton, OR 97006-4805
Phone (503) 672-6000

19875 SW 65TH Ave
Tualatin, OR 97062-8353
Phone (503) 692-7785

2725 SW Cedar Hills Blvd
Suite 250
Beaverton, OR 97005-1469
Phone (503) 415-5525

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2042

342 Fairview St
Silverton, OR 97381-1917
Phone (503) 525-7660

8329 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2215
Phone (503) 414-5160

Hospital & facility affiliations

  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Silverton Medical Center Hospital, Silverton, OR, CCN 380029

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
76.53

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Jul 18, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Sep 1, 2013 Accepting new patients
Legacy Mount Hood Medical Center Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Jul 18, 2023 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Apr 1, 2012 Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Jul 18, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health Current Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Jul 18, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Jul 18, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 18, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Sep 1, 2013 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Meridian Park Hospital CurrentSince Apr 1, 2012 Accepting new patients
Silverton Health CurrentSince Jul 18, 2023 Accepting new patients

Locations

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

861 W Main St
Molalla, OR 97038
Phone (503) 829-7344

250 W Marquam St
Mount Angel, OR 97362
Phone (503) 845-2000

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

500 N Columbia River Hwy
Ste 6
Saint Helens, OR 97051
Phone (503) 366-5101

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

1002 N Boones Ferry Rd
Woodburn, OR 97071
Phone (503) 981-9526

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023239407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 SW BARNES RD",
            "address_2": "SUITE MT 2800",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256603",
            "telephone_number": "503-216-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 SW BARNES RD",
            "address_2": "SUITE MT 2800",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256603",
            "telephone_number": "503-216-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSS",
        "first_name": "DIANA",
        "middle_name": "KATHRYN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD27265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.