Active NPI
Maria Dulce Regina Tomas Zarraga, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD150677
- Practice address
- 2222 NW Lovejoy St
Suite 315
Portland, OR 97210 - Phone
- (503) 413-8018
- Fax
- (503) 413-8011
- NPI assigned
- Aug 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD150677 | OR | Primary |
Addresses
Primary practice location
2222 NW Lovejoy St
Suite 315
Portland, OR 97210
Mailing address
2222 NW Lovejoy St
Suite 315
Portland, OR 97210
Phone (503) 413-8018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218105 | Medicaid | OR |
Other names 1
- Maria Dulce Regina Velasco Tomas
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988
1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074
6485 SW Borland Rd
Suite F
Tualatin, OR 97062-9762
Phone (503) 413-8018
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients |
Locations
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074
2222 NW Lovejoy St
Ste 315
Portland, OR 97210
Phone (503) 226-6321
Interoperability endpoints
- mtomas72788@direct.lhs.org
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1386835981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 NW LOVEJOY ST",
"address_2": "SUITE 315",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "503-413-8018",
"fax_number": "503-413-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 NW LOVEJOY ST",
"address_2": "SUITE 315",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "503-413-8018",
"fax_number": "503-413-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARRAGA",
"first_name": "MARIA DULCE REGINA",
"middle_name": "TOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OR",
"license": "MD150677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218105",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA DULCE REGINA",
"last_name": "TOMAS",
"middle_name": "VELASCO",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 28, 2018; 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.