Individual provider Active NPI

Mohamed Refaat, MD

  • Hospitalist Physician
  • Bend, OR
National Provider Identifier
1053607457
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD182996 Issued in OR
Practice address
2500 NE Neff Rd
Bend, OR 97701-6015
Phone
(541) 706-6892
Fax
(541) 706-6813
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD182996 OR
Family Medicine Physician 207Q00000X 4301099178 MI
Hospitalist Physician 208M00000X MD182996 OR Primary

Addresses

Primary practice location

2500 NE Neff Rd
Bend, OR 97701-6015

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-1164

Other practice location 1

1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

Other practice location 2

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-1164

Other identifiers 1

IdentifierTypeStateIssuer
4301099178OtherMIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrefaat187985@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171129000688 OR Practitioner - HospitalistPractitioner - Family Practice 1557591625 Reassigns benefits to 8 organizations
I20210902002214 WA Practitioner - Family Practice 1557591625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

19300 SW 65TH Ave
Meridian Park Hosp
Portland, OR 97062-7706
Phone (503) 692-1212

5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480

9205 SW Barnes Rd
Portland, OR 97225-6603

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301099178MIMDFamily Medicine Physician
MD182996ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients
University Professional Services Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Aug 25, 2021 Accepting new patients
Tuality Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients
Tuality Healthcare Current Accepting new patients
University Professional Services CurrentSince Mar 1, 2022 Accepting new patients
Providence Health & Services Oregon CurrentSince Apr 1, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince Apr 1, 2022 Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Legacy Clinics LLC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Jul 9, 2021 Accepting new patients
Silverton Health Family Medicine CurrentSince Mar 20, 2020 Accepting new patients
Providence Health & Services - Oregon CurrentSince Apr 1, 2022 Accepting new patients
Silverton Health Current Accepting new patients
University Professional Services CurrentSince Mar 1, 2022 Accepting new patients
Silverton Health CurrentSince Mar 20, 2020 Accepting new patients
Graciouscare Hospice, LLC Family Medicine CurrentSince Dec 8, 2022 Accepting new patients
Legacy Salmon Creek Hospital Hospitalist CurrentSince Aug 25, 2021 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

8196 SW Hall Blvd
Ste 101
Beaverton, OR 97008
Phone (503) 893-9866

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

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

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

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

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

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

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

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: mrefaat159076@direct.ohsu.edu
  • Direct secure messaging: mrefaat187985@samhealth.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gracious Care HospiceBeaverton, OR, CCN 381575 Hospice Corporate Director Aug 26, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

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 19

Hospital & facility affiliations 3

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1053607457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-1164",
            "fax_number": "503-494-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016015",
            "telephone_number": "541-706-6892",
            "fax_number": "541-706-6813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211916",
            "country_code": "US",
            "telephone_number": "541-812-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-1164",
            "fax_number": "503-494-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REFAAT",
        "first_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD182996",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301099178",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD182996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST LICENSE",
            "identifier": "4301099178",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrefaat187985@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1046 6th Ave SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.