Individual provider Active NPI

Erik Egsieker, MD

  • Emergency Medicine Physician
  • Portland, OR
National Provider Identifier
1205898806
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036105779 Issued in IL
Practice address
10123 SE Market St
Portland, OR 97216
Phone
(503) 252-2004
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C156675 CA
Emergency Medicine Physician 207P00000X 115510 MO
Emergency Medicine Physician 207P00000X 62652 AZ
Emergency Medicine Physician 207P00000X MD24200 OR
Emergency Medicine Physician 207P00000X MD60811852 WA
Emergency Medicine Physician 207P00000X ME172110 FL
Emergency Medicine Physician 207P00000X 036105779 IL Primary

Addresses

Primary practice location

10123 SE Market St
Portland, OR 97216

Mailing address

PO Box 5275
Portland, OR 97208-5275
Phone (888) 828-3196

Other identifiers 5

IdentifierTypeStateIssuer
P00232008OtherRAILROAD MEDICARE
208976OtherWA L & I
226893MedicaidOR
8352023MedicaidWA
858543012OtherREGENCE BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, CA, AZ, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20050816000681 OR Practitioner - Emergency Medicine 3173553807 Reassigns benefits to 1 organization
I20180309000877 WA Practitioner - Emergency Medicine 3173553807 Reassigns benefits to 2 organizations
I20181128001660 CA Practitioner - Emergency Medicine 3173553807 Reassigns benefits to 1 organization
I20210119000536 AZ Practitioner - Emergency Medicine 3173553807 Reassigns benefits to 1 organization
I20250218001410 FL Practitioner - Emergency Medicine 3173553807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, shared by 18 NPIs, 995 clinicians
Cep America-Arizona LLPGroup PAC ID 2668903006, 30 clinicians
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611

3801 E Hwy 98
Vituity
Port St Joe, FL 32456-5318
Phone (850) 229-5600

5620 W Cortaro Farms Rd
Tucson, AZ 85742-9559
Phone (520) 872-4000

825 Delbon Ave
Turlock, CA 95382-2016
Phone (209) 667-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C156675CAMDEmergency Medicine Physician
MD60811852WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jan 18, 2026 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Cep America-Arizona LLP Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Emergency Medicine Associates PC Emergency Medicine CurrentSince Mar 5, 2018 Accepting new patients
Peacehealth PastSince Mar 5, 2018 Accepting new patients
SSM Health Care St. Louis Emergency Medicine Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Cep America - California Emergency Medicine Past Accepting new patients

Locations

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

7401 S Wilmot Rd
Tucson, AZ 85756
Phone (520) 493-0499

5620 W Cortaro Farms Rd
Tucson, AZ 85742
Phone (520) 872-4000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

3801 E Highway 98
Port St Joe, FL 32456
Phone (850) 229-5600

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

500 Medical Dr
Wentzville, MO 63385
Phone (636) 327-1000

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

600 NE 92nd Ave
Vancouver, WA 98664
Phone (360) 514-2142

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1205898806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5275",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972085275",
            "telephone_number": "888-828-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 SE MARKET ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97216",
            "telephone_number": "503-252-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGSIEKER",
        "first_name": "ERIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C156675",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "115510",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "62652",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD24200",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60811852",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME172110",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036105779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00232008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L & I",
            "identifier": "208976",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226893",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8352023",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BC/BS",
            "identifier": "858543012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.