Active NPI
Berhane Mebratu, NP
- Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 10022270
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
9495 SW Locust St
Suite G
Portland, OR 97223-6683
Phone (971) 314-4522
Hospital & facility affiliations
- Assured Home Health
- Amedisys Home Health Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 89.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95006949 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starling Oncology Or, a Professional Corporation | Current | Accepting new patients | |
| The Oncology Institute Ca, a Professional Corporation | Past | Accepting new patients | |
| Starling Oncology Or, a Professional Corporation | Past | 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
- 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.
-
- Hematology & Oncology Physician
- Portland, OR
- NPI 1891536223
-
- Hematology & Oncology Physician
- Salem, OR
- NPI 1285472886
-
- Hematology & Oncology Physician
- Downey, CA
- NPI 1275651515
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salem, OR
- NPI 1730401217
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.