NPIMap

Individual provider Active NPI

Anthony J Dire, MD

  • Diagnostic Radiology Physician
  • Portland, OR
National Provider Identifier
1093769259
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
17962 Issued in OR
Practice address
9205 SW Barnes Rd
Portland, OR 97225
Phone
(503) 216-4830
Fax
(503) 216-4850
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 17962 OR Primary

Addresses

Primary practice location

9205 SW Barnes Rd
Portland, OR 97225

Mailing address

PO Box 25184
Portland, OR 97298
Phone (503) 292-9108

Other identifiers 1

IdentifierTypeStateIssuer
081468MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060814000027 OR Practitioner - Diagnostic Radiology 7113938580 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Georgetown University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Medical Imaging LLCGroup PAC ID 9335191543, 28 clinicians
Bridgeport Medical Imaging, LLCGroup PAC ID 3173670411, 28 clinicians
TRG, LLCGroup PAC ID 8820283617, 35 clinicians

Practice addresses (Care Compare)

10810 NE Cornell Rd
Suite 100
Hillsboro, OR 97124-9219
Phone (503) 216-8400

18040 Swlower Boones Ferry Rd
Suite 106
Tigard, OR 97224-7259
Phone (503) 216-8400

810 12TH St
Hood River, OR 97031-1587
Phone (503) 292-9108

Hospital & facility affiliations

  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Providence Newberg Medical Center Hospital, Newberg, OR, CCN 380037
  • Providence Seaside Hospital Hospital, Seaside, OR, CCN 381303

Merit-based Incentive Payment System (MIPS)

Final score
45.93 of 100Reported as group
Quality
36.39
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
100
Improvement activities
40
Cost
85.93

Merit-based Incentive Payment System (MIPS)

Final score
45.94 of 100Reported as group
Quality
36.41
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17962ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Jan 18, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 18, 2020 Accepting new patients
Bridgeport Medical Imaging, LLC Diagnostic Radiology CurrentSince Mar 13, 2011 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 18, 2020 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Tanasbourne Radiology Past Accepting new patients
The Radiology Group, P.C. Past Accepting new patients
Newberg Radiology Associates Diagnostic Radiology PastSince Mar 1, 2006 Accepting new patients

Locations

10810 NE Cornell Rd
Ste 100
Hillsboro, OR 97124
Phone (503) 216-4399

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

9400 SW Barnes Rd
Ste 300
Portland, OR 97225

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

16770 SW Edy Rd
Sherwood, OR 97140
Phone (503) 216-9600

12442 SW Scholls Ferry Rd
Tigard, OR 97223
Phone (503) 216-9200

18040 SW Lower Boones Ferry Rd
Ste 106
Tigard, OR 97224
Phone (503) 216-8400

Organizations & group practices 12

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 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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1093769259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25184",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97298",
            "telephone_number": "503-292-9108",
            "fax_number": "503-292-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 SW BARNES RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-216-4830",
            "fax_number": "503-216-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRE",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "17962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081468",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.