NPIMap

Individual provider Active NPI

William Theodore Simpson, PA

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1144879628
Registry record updated Sep 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2230 NW Pettygrove St Ste 210
Portland, OR 97210-2659
Phone
(503) 223-6223
NPI assigned
Sep 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2230 NW Pettygrove St Ste 210
Portland, OR 97210-2659

Mailing address

8030 SE Cora St
Portland, OR 97206-3336
Phone (503) 929-5728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191224000196 OR Practitioner - Physician Assistant 2264866342 Reassigns benefits to 1 organization
I20191224000222 WA Practitioner - Physician Assistant 2264866342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Urology LLCGroup PAC ID 2668783770, 14 clinicians

Practice addresses (Care Compare)

2055 NW Savier St
Suite 380
Portland, OR 97209-1770
Phone (503) 223-6223

9135 SW Barnes Rd
Suite 663
Portland, OR 97225-6683

Hospital & facility affiliations

  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Columbia Memorial Hospital Hospital, Astoria, OR, CCN 381320
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Merit-based Incentive Payment System (MIPS)

Final score
66.66 of 100Reported as group
Quality
61.57
Promoting interoperability
100
Improvement activities
0
Cost
77.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urologic Consultants PC Current Accepting new patients
Northwest Urological Clinic PC CurrentSince Sep 15, 2019 Accepting new patients

Locations

9135 SW Barnes Rd
Ste 663
Portland, OR 97225
Phone (503) 297-1078

2230 NW Pettygrove St
Ste 210
Portland, OR 97210

Interoperability endpoints

  • Direct secure messaging: william.simpson.1@11085.direct.athenahealth.com

Organizations & group practices 3

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 11

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": "1567900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1144879628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 SE CORA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972063336",
            "telephone_number": "503-929-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 NW PETTYGROVE ST STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102659",
            "telephone_number": "503-223-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "WILLIAM",
        "middle_name": "THEODORE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-08",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.