Elena Higuchi
Individual provider Active NPI Pediatrics Physician · Bend, OR
NPI 1316435019 · NPPES record last updated Jan 3, 2025
Key facts
- NPI
- 1316435019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD206490 (OR)
- Practice address
- 2500 NE Neff Rd
Bend, OR 97701-6015 - Phone
- (541) 706-6892
- Fax
- (541) 706-6813
- NPI assigned
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211012002098 | OR | Practitioner - Pediatric Medicine | 6305244963 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD206490 | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asante Physician Partners | Pediatrics | Current |
Accepting new patients |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Current |
Accepting new patients | |
| Centennial Medical Group Inc. | Current |
Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Current |
Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| Commonspirit Oregon | Past | Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004
351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000
1050 SW 3rd Ave
Ste 1600
Ontario, OR 97914
Phone (541) 881-2360
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
Interoperability endpoints
- ehiguchi2304191@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD206490 | OR | Yes |
Addresses
Primary practice location
2500 NE Neff Rd
Bend, OR 97701-6015
Mailing address
4046 1St Ave Apt 103
San Diego, CA 92103-2073
Phone (415) 542-6701
Other practice location 1
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000
Other practice location 2
3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone (541) 768-5111
Other practice location 3
351 SW 9th St
Ontario, OR 97914-2639
Phone (541) 881-7184
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehiguchi260078@samhealth.direct-ci.com |
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.