Individual provider Active NPI

Dana Kostiner Simpson, MD

  • Clinical Genetics (M.D.) Physician
  • Portland, OR
National Provider Identifier
1255346771
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
MD23675 Issued in OR
Practice address
501 N Graham St Ste 330B
Portland, OR 97227-2009
Phone
(503) 944-5970
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X MD23675 OR Primary

Addresses

Primary practice location

501 N Graham St Ste 330B
Portland, OR 97227-2009

Mailing address

PO Box 4399
Portland, OR 97208-4399

Other practice location 1

3325 N Interstate Ave
Portland, OR 97227-1020
Phone (503) 331-6256

Other practice location 2

2801 N Gantenbein Ave Fl 3
Portland, OR 97227-1623
Phone (503) 276-9300

Other practice location 3

2195 Club Center Dr Ste A
San Bernardino, CA 92408-4162
Phone (909) 558-4000

Other practice location 4

1040 NW 22nd Ave Ste Ll030
Portland, OR 97210-3057
Phone (503) 413-7702

Other identifiers 1

IdentifierTypeStateIssuer
286496MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE) Northwest Permanente PC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080530000109 OR Practitioner - Medical Genetics and GenomicsPractitioner - General Practice 4284704461 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Genetics and Genomics
Education
George Washington University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1040 NW 22ND Ave
Suite 30
Portland, OR 97210-3057
Phone (503) 413-7702

501 N Graham St
Suite 355
Portland, OR 97227-2005
Phone (503) 413-2560

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
76.53

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD23675ORMDClinical Genetics (M.D.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center CurrentSince Jul 6, 2022 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Aug 26, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Feb 23, 2025 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Aug 26, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jul 6, 2022 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients

Locations

501 N Graham St
Ste 330B
Portland, OR 97227
Phone (503) 413-3690

1040 NW 22nd Ave
Ste LL30
Portland, OR 97210
Phone (503) 413-7702

501 N Graham St
Ste 355
Portland, OR 97227
Phone (503) 413-2560

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

1130 NW 22nd Ave
Ste 630
Portland, OR 97210
Phone (503) 228-8469

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1040 NW 22nd Ave
Ste 30
Portland, OR 97210
Phone (503) 413-7702

2801 N Gantenbein Ave
Fl 3
Portland, OR 97227
Phone (503) 276-9300

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1255346771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4399",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST STE 330B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972272009",
            "telephone_number": "503-944-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3325 N Interstate Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271020",
            "country_code": "US",
            "telephone_number": "503-331-6256",
            "fax_number": "503-331-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N Gantenbein Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-276-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2195 Club Center Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924084162",
            "country_code": "US",
            "telephone_number": "909-558-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 NW 22nd Ave Ste Ll030",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103057",
            "country_code": "US",
            "telephone_number": "503-413-7702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "DANA",
        "middle_name": "KOSTINER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "OR",
            "license": "MD23675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286496",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Northwest Permanente PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3550 N Interstate Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972271196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.