Active NPI
Roberto Carlos Barcelona Collantes, M.D.
- Family Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD231373
- Practice address
- 2850 NW Nicolai St
Portland, OR 97210-2018 - Phone
- (800) 813-2000
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.MD.60385633 | WA | |
| Family Medicine Physician | 207Q00000X | MD231373 | OR | Primary |
Addresses
Primary practice location
2850 NW Nicolai St
Portland, OR 97210-2018
Mailing address
500 NE Multnomah St Ste 100
Portland, OR 97232-2031
Other practice location 1
17209 Redmond Way
Redmond, WA 98052-4404
Phone (425) 635-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104985951 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17209 Redmond Way
Redmond, WA 98052-4404
Phone (425) 635-6400
1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460
5708 E Lake Samm Pkwy SE
Issaquah, WA 98029-8942
Phone (425) 688-5488
Hospital & facility affiliations
- Overlake Hospital Medical Center & Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60385633 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| Overlake Medical Clinics LLC | Current | Accepting new patients | |
| Healthcare Physicians of Southern Illinois, PC | Family Medicine | Past | Accepting new patients |
| Issaquah Obstetrics and Gynecology PLLC | Past | Accepting new patients | |
| Radia Inc P S | Past | Accepting new patients |
Locations
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
5708 E Lake Sammamish Pkwy SE
Ste 102
Issaquah, WA 98029
Phone (425) 688-5488
6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777
17209 Redmond Way
Redmond, WA 98052
Phone (425) 635-6400
Organizations & group practices 5
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.
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- Specialist
- Bellevue, WA
- NPI 1871745703
-
- Family Medicine Physician
- Belleville, IL
- NPI 1023034618
-
- Obstetrics & Gynecology Physician
- Issaquah, WA
- NPI 1073581807
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1932196607
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1104985951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 NW NICOLAI ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102018",
"telephone_number": "800-813-2000"
}
],
"practiceLocations": [
{
"address_1": "17209 Redmond Way",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "WA",
"postal_code": "980524404",
"country_code": "US",
"telephone_number": "425-635-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLANTES",
"first_name": "ROBERTO CARLOS",
"middle_name": "BARCELONA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD.MD.60385633",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD231373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104985951",
"state": "IL"
}
],
"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 Sep 1, 2026; 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.