Active NPI
Darren L. Gillette, MD
- Emergency Medicine Physician
- Portland, OR
National Provider Identifier
1326068891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD21947
- Practice address
- 2801 N Gantenbein Ave
Portland, OR 97227-1623 - Phone
- (503) 413-4121
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD21947 | OR | Primary |
Addresses
Primary practice location
2801 N Gantenbein Ave
Portland, OR 97227-1623
Mailing address
6312 SW Capitol Hwy
#502
Portland, OR 97239-1938
Phone (503) 464-9034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134137 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgillette796728@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Public Hospital District No. 2, Klickitat County, Washington
Practice addresses (Care Compare)
211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone (509) 493-1101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Public Hospital District No 2, Klickitat County, Washington | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Public Hospital District No. 2, Klickitat County, Washington | Current | Accepting new patients | |
| Public Hospital District No 2, Klickitat County Washington | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients |
Locations
810 12th St
Hood River, OR 97031
Phone (541) 386-3911
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/
Organizations & group practices 6
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.
-
dba Providence Hood River Memorial Hospital
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
dba Providence Seaside Hospital
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
-
dba Skyline Hospital
- Critical Access Hospital
- White Salmon, WA
- NPI 1952483653
-
dba Skyline Hospital
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
-
dba Providence Seaside Hospital - Providence Warrenton Clinic
- Rural Health Clinic/Center
- Warrenton, OR
- NPI 1972039170
-
dba Skyline Medical Clinic
- Rural Health Clinic/Center
- White Salmon, WA
- NPI 1467961250
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Skyline Hospital
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1326068891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6312 SW CAPITOL HWY",
"address_2": "#502",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972391938",
"telephone_number": "503-464-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 N GANTENBEIN AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271623",
"telephone_number": "503-413-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLETTE",
"first_name": "DARREN",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD21947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134137",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgillette796728@oc.providencedirect.org",
"affiliation": "N",
"address_1": "725 S Wahanna Rd",
"city": "Seaside",
"state": "OR",
"country_code": "US",
"postal_code": "971387735",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.