NPIMap

Individual provider Active NPI

Joel Roberson, M.D.

  • Diagnostic Radiology Physician
  • Portland, OR
National Provider Identifier
1134566300
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD198630 Issued in OR
Practice address
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone
(503) 575-2521
Fax
(503) 389-7997
NPI assigned
May 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301103073 MI
Diagnostic Radiology Physician 2085R0202X MD198630 OR Primary

Addresses

Primary practice location

2801 N Gantenbein Ave
Portland, OR 97227-1623

Mailing address

PO Box 10768
Portland, OR 97296-0768
Phone (503) 575-2521

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
I20200722000004 OR Practitioner - Diagnostic Radiology 2062643273 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Medical Foundation of TillamookGroup PAC ID 5092619569, 80 clinicians
Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians
TS Radiology Billings LLCGroup PAC ID 0840221230, 14 clinicians

Practice addresses (Care Compare)

1000 3Rd St
Tillamook, OR 97141-3430
Phone (503) 815-2260

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7800

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (971) 340-2758

Hospital & facility affiliations

  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Adventist Health Tillamook Hospital, Tillamook, OR, CCN 381317
  • Columbia Memorial Hospital Hospital, Astoria, OR, CCN 381320

Merit-based Incentive Payment System (MIPS)

Final score
99.66 of 100Reported as group
Quality
97.85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as group
Quality
71.23
Promoting interoperability
88
Improvement activities
40
Cost
81.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Foundation of Tillamook CurrentSince Jan 1, 2026 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Feb 19, 2024 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Feb 19, 2024 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients

Locations

2725 SW Cedar Hills Blvd
Ste 225
Beaverton, OR 97005

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

475 S Columbia River Hwy
Saint Helens, OR 97051
Phone (503) 397-8040

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

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

19250 SW 65th Ave
Ste 300
Tualatin, OR 97062
Phone (503) 692-1242

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1134566300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10768",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972960768",
            "telephone_number": "503-575-2521",
            "fax_number": "503-389-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N GANTENBEIN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271623",
            "telephone_number": "503-575-2521",
            "fax_number": "503-389-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "JOEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301103073",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD198630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.