Individual provider Active NPI

Utako Sekiya, MD

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1093810541
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD23391 Issued in OR
Practice address
2525 NW Lovejoy St Ste 404
Portland, OR 97210-2865
Phone
(503) 224-9588
Fax
(503) 224-9583
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD23391 OR Primary

Addresses

Primary practice location

2525 NW Lovejoy St Ste 404
Portland, OR 97210-2865

Mailing address

2525 NW Lovejoy St Ste 404
Portland, OR 97210-2865
Phone (503) 224-9588

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000495 OR Practitioner - Psychiatry 4082788666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.57 of 100Reported as group
Quality
77.16
Improvement activities
40
Cost
90.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD23391ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ubh of Oregon, LLC CurrentSince Sep 1, 2010 Accepting new patients

Locations

10300 SW Eastridge St
Portland, OR 97225
Phone (503) 944-5000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1093810541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NW LOVEJOY ST STE 404",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102865",
            "telephone_number": "503-224-9588",
            "fax_number": "503-224-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NW LOVEJOY ST STE 404",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102865",
            "telephone_number": "503-224-9588",
            "fax_number": "503-224-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKIYA",
        "first_name": "UTAKO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD23391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.