Individual provider Active NPI

Cindi N Chapman, MD

  • Dermatology Physician
  • Portland, OR
National Provider Identifier
1396182176
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD181341 Issued in OR
Practice address
1414 NW Northrup St Ste 600
Portland, OR 97209-2790
Phone
(503) 233-3104
Fax
(503) 233-4619
NPI assigned
Jun 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD181341 OR Primary

Addresses

Primary practice location

1414 NW Northrup St Ste 600
Portland, OR 97209-2790

Mailing address

541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801

Other identifiers 1

IdentifierTypeStateIssuer
500672963MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referringdrm@1243.direct.myezyaccess.com The Oregon Clinic PC

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
I20170905003058 OR Practitioner - Dermatology 2860627270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Oregon Clinic, PCGroup PAC ID 2860390408, 353 clinicians

Practice addresses (Care Compare)

1414 NW Northrup St
Suite 600
Portland, OR 97209-2790
Phone (503) 223-3104

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions253
Removal or shaving of skin growth21
Skin biopsy127

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Oregon Clinic, PC CurrentSince Dec 15, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 31, 2017 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Dermatology Current Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Feb 1, 2019 Accepting new patients
The Oregon Clinic PC CurrentSince Dec 15, 2021 Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

847 NE 19th Ave
Ste 300
Portland, OR 97232

3600 N Interstate Ave
Ofc
Portland, OR 97227
Phone (503) 285-9321

3600 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321

9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621

1414 NW Northrup St
Ste 600
Portland, OR 97209
Phone (503) 223-3104

5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

541 NE 20th Ave
Ste 225
Portland, OR 97232
Phone (503) 963-2801

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

Interoperability endpoints

  • Direct secure messaging: cchapman297429@oc.providencedirect.org

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.

Hospital & facility affiliations 1

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1396182176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 NE 20TH AVE STE 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322895",
            "telephone_number": "503-963-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 NW NORTHRUP ST STE 600",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092790",
            "telephone_number": "503-233-3104",
            "fax_number": "503-233-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "CINDI",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD181341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500672963",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referringdrm@1243.direct.myezyaccess.com",
            "affiliation": "Y",
            "affiliationName": "The Oregon Clinic PC",
            "address_1": "1414 NW Northrup St Ste 600",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972092790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.