Individual provider Active NPI

Julia Fehniger, M.D.

  • Gynecologic Oncology Physician
  • New York, NY
National Provider Identifier
1245679984
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD61179469 Issued in WA
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

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210729001377 OR Practitioner - Obstetrics/Gynecology 1153623921 Reassigns benefits to 4 organizations
I20210927003522 WA Practitioner - Gynecological Oncology 1153623921 Reassigns benefits to 1 organization

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
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125063001ILMDObstetrics & Gynecology Physician
289283NYMDObstetrics & Gynecology Physician
MD61179469WAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Aug 1, 2022 Accepting new patients
Providence Health & Services - Oregon Obstetrics & Gynecology Current Accepting new patients
Legacy Clinics LLC CurrentSince Jul 23, 2021 Accepting new patients
Providence Health & Services - Oregon Obstetrics & Gynecology Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 22, 2021 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Legacy Clinics LLC CurrentSince Jul 23, 2021 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2022 Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 1, 2022 Accepting new patients
Legacy Salmon Creek Hospital Obstetrics & Gynecology CurrentSince Sep 22, 2021 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2022 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

  • Direct secure messaging: jfehniger138366@direct.ohsu.edu
  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.