Individual provider Active NPI

Ben Christopher Jew, MD

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1275636680
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD26564 Issued in OR
Practice address
818 NW 17TH Ave
Suite #8
Portland, OR 97209-2327
Phone
(503) 764-1551
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD26564 OR Primary

Addresses

Primary practice location

818 NW 17TH Ave
Suite #8
Portland, OR 97209-2327

Mailing address

818 NW 17TH Ave
Suite #8
Portland, OR 97209-2327
Phone (503) 764-1551

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061116000472 OR Practitioner - Psychiatry 4880692383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Wisconsin School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Telecare Mental Health Services of Oregon, Inc.Group PAC ID 1557460524, 4 clinicians

Practice addresses (Care Compare)

4101 NE Division St
Suite 100
Gresham, OR 97030-4617
Phone (503) 666-3808

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Mental Health Services of Oregon, Inc CurrentSince Jun 5, 2007 Accepting new patients
Telecare Mental Health Services of Oregon, Inc. CurrentSince Jun 5, 2007 Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

4101 NE Division St
Ste 100
Gresham, OR 97030
Phone (503) 666-3808

Organizations & group practices 2

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1275636680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 NW 17TH AVE",
            "address_2": "SUITE #8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092327",
            "telephone_number": "503-764-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 NW 17TH AVE",
            "address_2": "SUITE #8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092327",
            "telephone_number": "503-764-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEW",
        "first_name": "BEN",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD26564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.