Individual provider Active NPI

Adrian Anthony, MD

  • Pain Medicine (Anesthesiology) Physician
  • Gresham, OR
National Provider Identifier
1376084632
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD209904 Issued in OR
Practice address
689 NW Burnside Rd
Gresham, OR 97030-3739
Phone
(503) 382-8100
NPI assigned
Mar 19, 2017
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD209904 OR Primary

Addresses

Primary practice location

689 NW Burnside Rd
Gresham, OR 97030-3739

Mailing address

689 NW Burnside Rd
Gresham, OR 97030-3739
Phone (503) 382-8100

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
I20221003002636 OR Practitioner - Pain ManagementPractitioner - Anesthesiology 5395018055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Medical College of Wisconsin, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Pain and Spine InstituteGroup PAC ID 2769738301, 5 clinicians

Practice addresses (Care Compare)

689 NW Burnside Rd
Gresham, OR 97030-3739
Phone (503) 382-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Pain and Spine Institute CurrentSince Aug 27, 2022 Accepting new patients
Burnside Surgery Center LLC PastSince Aug 27, 2022 Accepting new patients

Locations

689 NW Burnside Rd
Gresham, OR 97030
Phone (503) 382-8100

Interoperability endpoints

  • Direct secure messaging: aanthony159404@direct.ohsu.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1489881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1376084632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 NW BURNSIDE RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303739",
            "telephone_number": "503-382-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 NW BURNSIDE RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303739",
            "telephone_number": "503-382-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "ADRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-19",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OR",
            "license": "MD209904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.