Active NPI
Julia Fehniger, M.D.
- Gynecologic Oncology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- MD61179469
- Practice address
- 550 1St Ave # Nbve2
New York, NY 10016-6402 - Phone
- (212) 263-5198
- NPI assigned
- Jun 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | MD61179469 | WA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 289283 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 125063001 | IL |
Addresses
Primary practice location
550 1St Ave # Nbve2
New York, NY 10016-6402
Mailing address
550 1St Ave # Nbve2
New York, NY 10016-6402
Phone (313) 415-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Michigan Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 110
Portland, OR 97210-2934
Phone (503) 413-8654
2121 NE 139TH St
Suite 120
Vancouver, WA 98686-2316
Phone (360) 487-1717
4805 NE Glisan St
Suite 11N
Portland, OR 97213-2933
Phone (503) 215-6014
Hospital & facility affiliations
- Legacy Good Samaritan Medical Center
- Ohsu Hospital and Clinics
- Legacy Meridian Park Medical Center
- Providence Portland Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125063001 | IL | MD | Obstetrics & Gynecology Physician |
| 289283 | NY | MD | Obstetrics & Gynecology Physician |
| MD61179469 | WA | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Obstetrics & Gynecology | Current | Accepting new patients |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Obstetrics & Gynecology | Current | Accepting new patients |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Past | Accepting new patients |
Locations
1130 NW 22nd Ave
Ste 110
Portland, OR 97210
Phone (503) 413-3940
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
4805 NE Glisan St
Ste 11N
Portland, OR 97213
Phone (503) 215-1350
19260 SW 65th Ave
Ste 400
Tualatin, OR 97062
Phone (503) 413-8654
19260 SW 65th Ave
Ste 140
Tualatin, OR 97062
Phone (503) 413-8654
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
2121 NE 139th St
Ste 120
Vancouver, WA 98686
Phone (360) 487-1717
Interoperability endpoints
- jfehniger138366@direct.ohsu.edu
- jfehniger629089@direct.lhs.org
Organizations & group practices 13
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
Obstetrics & Gynecology
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
Obstetrics & Gynecology
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
Obstetrics & Gynecology
-
dba Legacy Medical Group Firwood
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
dba Providence Dysplasia Clinic
- Hematology & Oncology Physician
- Portland, OR
- NPI 1124325972
-
dba Providence Portland Medical Center
- Clinical Pathology Physician
- Portland, OR
- NPI 1740732650
-
dba Prov St. Vincent Medical Ctr
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
dba Providence Portland Medical Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
dba Providence Medical Group
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Legacy Good Samaritan Providers
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1245679984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 1ST AVE # NBVE2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "313-415-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 1ST AVE # NBVE2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-263-5198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEHNIGER",
"first_name": "JULIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-16",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "WA",
"license": "MD61179469",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "289283",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "125063001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.