Individual provider Active NPI

Jason Richard Bauer, MD

  • Vascular & Interventional Radiology Physician
  • Wilsonville, OR
National Provider Identifier
1326029950
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD26590 Issued in OR
Practice address
25030 SW Parkway Ave Ste 200
Wilsonville, OR 97070-9816
Phone
(503) 612-0498
Fax
(503) 459-0521
NPI assigned
Nov 10, 2005
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD26590 OR
Vascular & Interventional Radiology Physician 2085R0204X 3067 WI
Vascular & Interventional Radiology Physician 2085R0204X 76385 AZ
Vascular & Interventional Radiology Physician 2085R0204X MD26590 OR Primary
Phlebology Physician 202K00000X MD26590 OR

Addresses

Primary practice location

25030 SW Parkway Ave Ste 200
Wilsonville, OR 97070-9816

Mailing address

25030 SW Parkway Ave Ste 200
Wilsonville, OR 97070-9816
Phone (503) 612-0498

Other practice location 1

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 2

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000

Other identifiers 1

IdentifierTypeStateIssuer
240378MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WI, MN, MT, WA, IL, MO, AZ, HI9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20070612000512 OR Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4587690821 Reassigns benefits to 2 organizations
I20230608001901 WI Practitioner - Interventional Radiology 4587690821 Reassigns benefits to 9 organizations
I20230712002213 MN Practitioner - Diagnostic Radiology 4587690821 Reassigns benefits to 6 organizations
I20230911000770 MT Practitioner - Interventional Radiology 4587690821 Reassigns benefits to 11 organizations
I20240328003733 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4587690821 Reassigns benefits to 2 organizations
I20240610001397 IL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4587690821 Reassigns benefits to 1 organization
I20240926000631 MO Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4587690821 Reassigns benefits to 1 organization
I20250411003052 AZ Practitioner - Interventional Radiology 4587690821 Reassigns benefits to 1 organization
I20260401003077 HI Practitioner - Interventional Radiology 4587690821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Harvard Medical School, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Cape Radiology Group PCGroup PAC ID 9830093236, 54 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
Diversified Radiology of Colorado IncGroup PAC ID 0143132316, 92 clinicians

Practice addresses (Care Compare)

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 651-5543

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

400 S Clark St
Butte, MT 59701-2328
Phone (406) 723-2595

402 E 2ND St
Duluth, MN 55805-1906
Phone (218) 786-4000

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76385AZMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Aug 24, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Jun 5, 2023 Accepting new patients
Stillwater Hospital Association, Inc. CurrentSince Sep 8, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jun 5, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Yuma Regional Medical Center CurrentSince Feb 24, 2025 Accepting new patients
Townsend Health Systems Inc, CurrentSince Sep 8, 2023 Accepting new patients
Diversified Radiology of Colorado, Inc Diagnostic Radiology CurrentSince Sep 11, 2024 Accepting new patients
Bay Area Hospital District CurrentSince Jul 15, 2024 Accepting new patients
Bay Area Hospital District CurrentSince Jul 15, 2024 Accepting new patients
Livingston Healthcare CurrentSince Sep 8, 2023 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Jul 10, 2023 Accepting new patients
Livingston Healthcare Current Accepting new patients
The Duluth Clinic, LTD CurrentSince Jul 10, 2023 Accepting new patients
Sheridan Memorial Hospital Association CurrentSince Sep 8, 2023 Accepting new patients
Billings Clinic Current Accepting new patients
The Vascular and Interventional Group, LLC Vascular & Interventional Radiology Current Accepting new patients
Allina Health System Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jun 5, 2023 Accepting new patients
St Francis Regional Medical Center CurrentSince Mar 16, 2024 Accepting new patients
McKenzie Physician Services LLC CurrentSince Apr 10, 2025 Accepting new patients
Billings Clinic Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jun 5, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Jun 5, 2023 Accepting new patients
Billings Clinic CurrentSince Aug 24, 2023 Accepting new patients
Multicare Health System CurrentSince Feb 13, 2024 Accepting new patients
Townsend Health Systems, Inc. CurrentSince Sep 8, 2023 Accepting new patients
St. Francis Regional Medical Center CurrentSince Mar 16, 2024 Accepting new patients
Big Horn Hospital Association Diagnostic Radiology CurrentSince Sep 8, 2023 Accepting new patients
Allina Health System Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 5, 2023 Accepting new patients
Cape Radiology Group, P.C. Diagnostic Radiology CurrentSince Jul 15, 2024 Accepting new patients
Livingston Healthcare CurrentSince Sep 8, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 5, 2023 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Mar 16, 2024 Accepting new patients
CMSC, LLC CurrentSince Feb 12, 2024 Accepting new patients
Allina Health System CurrentSince Mar 16, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Jun 5, 2023 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Mar 16, 2024 Accepting new patients
Stillwater Hospital Association, Inc. CurrentSince Sep 8, 2023 Accepting new patients
Powder River County CurrentSince Sep 8, 2023 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Multicare Health System CurrentSince Feb 13, 2024 Accepting new patients
Virginia Mason Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Allina Health System CurrentSince Mar 16, 2024 Accepting new patients
Powder River County CurrentSince Sep 8, 2023 Accepting new patients
Big Horn Hospital Association CurrentSince Sep 8, 2023 Accepting new patients
Sheridan Memorial Hospital Association CurrentSince Sep 8, 2023 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Virginia Mason Medical Center Diagnostic Radiology CurrentSince Dec 2, 2024 Accepting new patients
Allina Health System CurrentSince Mar 16, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Jun 5, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jun 5, 2023 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Mar 16, 2024 Accepting new patients
Quest Diagnostics LLC Il Past Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 53)

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Dept LA 25339
Pasadena, CA 91185

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

405 W Jackson St
Carbondale, IL 62901

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone 61287910001502

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

913 E 26th St
Ste 402
Minneapolis, MN 55404
Phone (612) 845-6212

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

650 S Mount Auburn Rd
Ste 100
Cape Girardeau, MO 63703
Phone (573) 986-4403

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

3255 Independence St
Cpe Girardeau, MO 63701
Phone (573) 331-8026

70 Doctors Park
Cpe Girardeau, MO 63703

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: jbauer18028@direct.lhs.org
  • Direct secure messaging: jbauer2@billingsclinic.cernerdirect.com

Organizations & group practices 62

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 62

Hospital & facility affiliations 8

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1326029950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25030 SW PARKWAY AVE STE 200",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709816",
            "telephone_number": "503-612-0498",
            "fax_number": "503-459-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25030 SW PARKWAY AVE STE 200",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709816",
            "telephone_number": "503-612-0498",
            "fax_number": "503-459-0521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "fax_number": "715-387-5240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "JASON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD26590",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "3067",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "76385",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OR",
            "license": "MD26590",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "OR",
            "license": "MD26590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240378",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

Verify at the official NPI Registry.