Barry T Degregorio, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD17151 Issued in OR

Practice address

1130 NW 22ND Ave
Suite 410
Portland, OR 97210-2900

Phone

(503) 229-7137

Fax

(503) 241-0628

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northwest Gastroenterology Clinic LLC

  • Specialist
  • Portland, OR
  • NPI 1407933872
  Medicare reassignment
• NGC Endoscopy Services LLC

  • Ambulatory Surgical Clinic/Center
  • Portland, OR
  • NPI 1366529638
  NPD
• Gastroenterology Specialists of Oregon PC

  • Gastroenterology Physician
  • Oregon City, OR
  • NPI 1164464616
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205948726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE",
            "address_2": "SUITE 410",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102900",
            "telephone_number": "503-229-7137",
            "fax_number": "503-241-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE",
            "address_2": "SUITE 410",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102900",
            "telephone_number": "503-229-7137",
            "fax_number": "503-241-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGREGORIO",
        "first_name": "BARRY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD17151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08070-5",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Buffy Degraff
• Philip John Degraffenreid
• Lashawn Danielle Degrate
• Rita Jael Iman Degrate
• Ginger L Degravelle, MD
• Joey Goren Degrood, R.PH.
• Raymond Deguilio, LMT
• Kylie Tamiko Deguzman, MA
• Alexander Matthew Dehaan, M.D.
• Milicent Ann Dehart

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.