Individual provider Active NPI

Thomas Jay Rosenbaum, MD

  • Neurological Surgery Physician
  • Portland, OR
National Provider Identifier
1104871847
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD11106 Issued in OR
Practice address
2222 NW Lovejoy
Ste 516
Portland, OR 97210-5103
Phone
(503) 229-8470
Fax
(503) 274-4849
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD11106 OR Primary

Addresses

Primary practice location

2222 NW Lovejoy
Ste 516
Portland, OR 97210-5103

Mailing address

2222 NW Lovejoy
Ste 516
Portland, OR 97210-5103
Phone (503) 229-8470

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
I20110408000432 OR Practitioner - Neurosurgery 1951585330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11106ORMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Jay Rosenbaum MD PC Neurological Surgery CurrentSince Apr 1, 1978 Accepting new patients

Locations

2222 NW Lovejoy St
Ste 516
Portland, OR 97210
Phone (503) 229-8470

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104871847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY",
            "address_2": "STE 516",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105103",
            "telephone_number": "503-229-8470",
            "fax_number": "503-274-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY",
            "address_2": "STE 516",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105103",
            "telephone_number": "503-229-8470",
            "fax_number": "503-274-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "THOMAS",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD11106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.