Active NPI
Enrique A Abreu, DO
- Anesthesiology Physician
- Portland, OR
National Provider Identifier
1386618601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DO25617
- Practice address
- 140 NW 14TH Ave
Portland, OR 97209-2601 - Phone
- (503) 927-5994
- Fax
- (503) 961-8959
- NPI assigned
- Feb 14, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DO25617 | OR | Primary |
Addresses
Primary practice location
140 NW 14TH Ave
Portland, OR 97209-2601
Mailing address
140 NW 14TH Ave
Portland, OR 97209-2601
Phone (503) 927-5994
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8424079 | Medicaid | WA | |
| 269726 | Medicaid | OR | |
| P00363785 | Other | OR | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO25617 | OR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Limelight Group | Anesthesiology | Past | Accepting new patients |
| Oregon Anesthesiology Group PC | Anesthesiology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Portland, OR
- NPI 1821370875
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1386618601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 NW 14TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092601",
"telephone_number": "503-927-5994",
"fax_number": "503-961-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 NW 14TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092601",
"telephone_number": "503-927-5994",
"fax_number": "503-961-8959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABREU",
"first_name": "ENRIQUE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "DO25617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8424079",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269726",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00363785",
"state": "OR"
}
],
"endpoints": [],
"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 Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.