Active NPI
Joseph Douglas Trudeau, MD
- Diagnostic Radiology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD23286
- Practice address
- 9205 SW Barnes Rd
Portland, OR 97225-6603 - Phone
- (503) 216-4830
- Fax
- (503) 292-0346
- NPI assigned
- Jan 2, 2007
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD23286 | OR | Primary |
Addresses
Primary practice location
9205 SW Barnes Rd
Portland, OR 97225-6603
Mailing address
PO Box 25184
Portland, OR 97298-0184
Phone (503) 797-6356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109526 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical College of Wisconsin, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Providence Dr
Newberg, OR 97132-7485
Phone (503) 216-1538
10318 SE Evergreen Hwy
Vancouver, WA 98664-5360
Phone (503) 797-6356
725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7319
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-4830
Hospital & facility affiliations
- Providence St Vincent Medical Center
- Providence Seaside Hospital
- Providence Newberg Medical Center
- Providence Portland Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 45.93 of 100
- Quality
- 36.39
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.78 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 85.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23286 | OR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| X-Ray Professional Association | Diagnostic Radiology | Current | Accepting new patients |
| Center for Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Simi Radiology and Imaging Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| TRG, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Catawba Radiological Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Concord Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Wayne Radiologists, P.a. | Current | Accepting new patients | |
| Tennessee Valley Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Imaging Associates of Idaho Falls, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Enloe Medical Center | Current | Accepting new patients | |
| Oroville Hospital | Current | Accepting new patients | |
| Bridgeport Medical Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Radiology Physicians LLC | Diagnostic Radiology | Current | Accepting new patients |
| Enloe Medical Center | Current | Accepting new patients | |
| Jason L Hwang MD Inc | Diagnostic Radiology | Current | Accepting new patients |
| South Florida Medical Imaging, PA | Diagnostic Radiology | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Past | Accepting new patients | |
| Mission Medical Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Deaconess Intercity Imaging LLC | Past | Accepting new patients | |
| Larsen Sanchez Psychology, LLC | Past | Accepting new patients | |
| Enloe Medical Center | Past | Accepting new patients | |
| University Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
| University Radiologists of Cleveland Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
2265 E Sunnyside Rd
Idaho Falls, ID 83404
2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000
777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000
450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691
2400 17th St
Columbus, IN 47201
Phone (812) 373-3025
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060
14 Maple St
Ste 200
Gilford, NH 03249
Phone (603) 524-2852
14 Maple St
Ste 100
Gilford, NH 03249
Phone (603) 524-4220
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
724 N Main St
Laconia, NH 03246
Phone (603) 524-5151
734 N Main St
Laconia, NH 03246
Phone (603) 527-1855
238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464
10810 NE Cornell Rd
Ste 100
Hillsboro, OR 97124
Phone (503) 216-4399
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
18040 SW Lower Boones Ferry Rd
Ste 106
Tigard, OR 97224
Phone (503) 216-8400
Organizations & group practices 23
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.
-
dba Center for Medical Imaging-Bridgeport
- Diagnostic Radiology Physician
- Tigard, OR
- NPI 1922253525
-
- Diagnostic Radiology Physician
- Hillsboro, OR
- NPI 1275505448
-
dba Enloe Trauma & Surgery Clinic
- Surgery Physician
- Chico, CA
- NPI 1477975613
OR
-
- Diagnostic Radiology Physician
- Pocatello, ID
- NPI 1740225531
OR
-
- Diagnostic Radiology Physician
- Fort Lauderdale, FL
- NPI 1518945575
OR
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
dba Providence Newberg Medical Center
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
dba Providence Seaside Hospital
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1407913379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25184",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972980184",
"telephone_number": "503-797-6356",
"fax_number": "503-292-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9205 SW BARNES RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256603",
"telephone_number": "503-216-4830",
"fax_number": "503-292-0346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUDEAU",
"first_name": "JOSEPH",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD23286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109526",
"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 Nov 12, 2021; 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.