Individual provider Active NPI

Isabelle Trepiccione, M.D.

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1376961193
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD190522 Issued in OR
Practice address
1132 SW 13TH Ave
Portland, OR 97205-1703
Phone
(503) 535-3860
Fax
(503) 535-3868
NPI assigned
Mar 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD190522 OR Primary

Addresses

Primary practice location

1132 SW 13TH Ave
Portland, OR 97205-1703

Mailing address

1132 SW 13TH Ave
Portland, OR 97205-1703
Phone (503) 535-3860

Other practice location 1

1401 Madison St Ste 100
Seattle, WA 98104-1316
Phone (206) 386-6054

Other practice location 2

9245 Rainier Ave S
Seattle, WA 98118-5569
Phone (206) 722-8444

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
I20181217000675 OR Practitioner - Family Practice 3173840022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outside inGroup PAC ID 9638256662, 12 clinicians

Practice addresses (Care Compare)

1132 SW 13TH Ave
Portland, OR 97205-1703
Phone (503) 535-3860

16144 E Burnside St
Portland, OR 97233-3520
Phone (503) 535-3860

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Outside in Family Medicine CurrentSince Nov 12, 2018 Accepting new patients
Outside in Current Accepting new patients
Outside in CurrentSince Nov 12, 2018 Accepting new patients
Outside in Past Accepting new patients

Locations

1132 SW 13th Ave
Portland, OR 97205
Phone (503) 535-3800

Interoperability endpoints

  • Direct secure messaging: itrepiccione249619@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1376961193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051703",
            "telephone_number": "503-535-3860",
            "fax_number": "503-535-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051703",
            "telephone_number": "503-535-3860",
            "fax_number": "503-535-3868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Madison St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981041316",
            "country_code": "US",
            "telephone_number": "206-386-6054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9245 Rainier Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981185569",
            "country_code": "US",
            "telephone_number": "206-722-8444",
            "fax_number": "206-721-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREPICCIONE",
        "first_name": "ISABELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD190522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.