Active NPI
Benito G Pataroque, M.D.
- Internal Medicine Physician
- Tualatin, OR
National Provider Identifier
1033100714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23386
- Practice address
- 6485 SW Borland Rd
Suite D
Tualatin, OR 97062-9762 - Phone
- (503) 692-3647
- Fax
- (503) 691-1670
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23386 | OR | Primary |
Addresses
Primary practice location
6485 SW Borland Rd
Suite D
Tualatin, OR 97062-9762
Mailing address
6485 SW Borland Rd
Suite D
Tualatin, OR 97062-9762
Phone (503) 692-3647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181643 | Medicaid | OR |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070511000454 | OR | Practitioner - Internal Medicine | 3274630066 | Practice locations: Tualatin, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6485 SW Borland Rd
Suite D
Tualatin, OR 97062-9762
Phone (503) 692-3647
6485 SW Borland Rd D
Tualatin, OR 97062-9762
Hospital & facility affiliations
- Centerwell Home Health
- Amedisys Home Health Care
- Legacy Meridian Park Medical Center
- Ohsu Hospital and Clinics
- Providence St Vincent Medical Center
- Providence Willamette Falls Medical Center
- Legacy Silverton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.6 of 100
- Quality
- 71.58
- Improvement activities
- 40
- Cost
- 76.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23386 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Meridian Park Hospital | Past | Accepting new patients |
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
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.
-
- Hospitalist Physician
- Tualatin, OR
- NPI 1023305034
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Portland, OR
- NPI 1134311988
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Home Health Agency
- Vancouver, WA
- NPI 1205867819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1033100714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6485 SW BORLAND RD",
"address_2": "SUITE D",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629762",
"telephone_number": "503-692-3647",
"fax_number": "503-691-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6485 SW BORLAND RD",
"address_2": "SUITE D",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629762",
"telephone_number": "503-692-3647",
"fax_number": "503-691-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATAROQUE",
"first_name": "BENITO",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "23386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181643",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.