Individual provider Active NPI

Ronald Jeffrey Dworkin, MD

  • Infectious Disease Physician
  • Portland, OR
National Provider Identifier
1154327997
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD16576 Issued in OR
Practice address
5050 NE Hoyt St
Ste 540
Portland, OR 97213-2985
Phone
(503) 215-6601
Fax
(503) 215-6727
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD16576 OR Primary

Addresses

Primary practice location

5050 NE Hoyt St
Ste 540
Portland, OR 97213-2985

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other identifiers 1

IdentifierTypeStateIssuer
010046MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdworkin186906@oc.providencedirect.org

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
I20120220001017 OR Practitioner - Infectious DiseasePractitioner - Internal Medicine 7810038411 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians
Providence Health and Services WashingtonGroup PAC ID 6709782600, 480 clinicians
McKenzie Physician Services LLCGroup PAC ID 1254307994, 48 clinicians
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

Portland, OR 97210

Portland, OR 97213

1460 G St
Springfield, OR 97477-4112
Phone (541) 744-8613

1750 Thompson Rd
Coos Bay, OR 97420-2100
Phone (541) 269-0333

9155 SW Barnes Rd
Suite 638
Portland, OR 97225-6633
Phone (503) 216-7000

9205 SW Barnes Rd
Portland, OR 97225-6603

960 N 16TH St
Springfield, OR 97477-4175

Hospital & facility affiliations

  • McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16576ORMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jul 28, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Dec 27, 2012 Accepting new patients
Providence Medical Institute CurrentSince Feb 1, 2026 Accepting new patients
Providence Medical Institute CurrentSince Feb 1, 2026 Accepting new patients
Providence Health & Services - Oregon CurrentSince Dec 27, 2012 Accepting new patients
McKenzie Physician Services LLC CurrentSince Nov 1, 2024 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients

Locations

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

9155 SW Barnes Rd
Ste 638
Portland, OR 97225
Phone (503) 216-7000

5050 NE Hoyt St
Ste 540
Portland, OR 97213
Phone (503) 215-6600

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

960 N 16th St
Ste 108
Springfield, OR 97477
Phone (541) 726-4690

Interoperability endpoints

  • Direct secure messaging: rdworkin186906@oc.providencedirect.org
  • Direct secure messaging: rdworkin186865@wm.providencedirect.org
  • Direct secure messaging: ronald.dworkin.2@1804.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1154327997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST",
            "address_2": "STE 540",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132985",
            "telephone_number": "503-215-6601",
            "fax_number": "503-215-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORKIN",
        "first_name": "RONALD",
        "middle_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OR",
            "license": "MD16576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010046",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdworkin186906@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "5050 NE Hoyt St",
            "address_2": "Ste 540",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972132985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.