Individual provider Active NPI

Berhane Mebratu, NP

  • Nurse Practitioner
  • Portland, OR
National Provider Identifier
1043718927
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10022270 Issued in OR
Practice address
9495 SW Locust St Ste G
Portland, OR 97223-6683
Phone
(559) 321-2800
Fax
(559) 321-2780
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NP95006949 CA
Nurse Practitioner 363L00000X NP95006949 CA
Nurse Practitioner 363L00000X 10022270 OR Primary

Addresses

Primary practice location

9495 SW Locust St Ste G
Portland, OR 97223-6683

Mailing address

9495 SW Locust St Ste G
Portland, OR 97223-6683
Phone (971) 314-4899

Other practice location 1

2720 Commercial St SE Ste 100
Salem, OR 97302-4495
Phone (971) 314-4899

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007001844 OR Practitioner - Nurse Practitioner 0143582957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Institute Or a Professional CorporationGroup PAC ID 0648719989, 4 clinicians

Practice addresses (Care Compare)

9495 SW Locust St
Suite G
Portland, OR 97223-6683
Phone (971) 314-4522

Hospital & facility affiliations

  • Assured Home Health Home health agency, Salem, OR, CCN 387093
  • Amedisys Home Health Care Home health agency, Salem, OR, CCN 387136

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95006949CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Oncology Or, a Professional Corporation CurrentSince Aug 1, 2024 Accepting new patients
The Oncology Institute Ca, a Professional Corporation Past Accepting new patients
Starling Oncology Or, a Professional Corporation PastSince Jul 21, 2024 Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

9495 SW Locust St
Ste G
Portland, OR 97223
Phone (559) 321-2800

2720 Commercial St SE
Ste 101
Salem, OR 97302
Phone (503) 585-0777

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: berhanemebratu@theoncologyinstitute.ikm.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1043718927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 SW LOCUST ST STE G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236683",
            "telephone_number": "971-314-4899",
            "fax_number": "971-314-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 SW LOCUST ST STE G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236683",
            "telephone_number": "559-321-2800",
            "fax_number": "559-321-2780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Commercial St SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973024495",
            "country_code": "US",
            "telephone_number": "971-314-4899",
            "fax_number": "971-314-4798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEBRATU",
        "first_name": "BERHANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "NP95006949",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95006949",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10022270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.