Individual provider Active NPI

Joseph Douglas Trudeau, MD

  • Diagnostic Radiology Physician
  • Portland, OR
National Provider Identifier
1407913379
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD23286 Issued in OR
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

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
109526MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040329000911 OR Practitioner - Diagnostic Radiology 9436041944 Reassigns benefits to 14 organizations
I20240117001432 WA Practitioner - Diagnostic Radiology 9436041944 Reassigns benefits to 1 organization

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
TRG, LLCGroup PAC ID 8820283617, 35 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
45.93 of 100Reported as group
Quality
36.39
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
100
Improvement activities
40
Cost
85.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD23286ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Professional Association Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Center for Medical Imaging LLC Diagnostic Radiology CurrentSince Nov 9, 2021 Accepting new patients
Simi Radiology and Imaging Medical Group Diagnostic Radiology CurrentSince Feb 2, 2020 Accepting new patients
TRG, LLC Diagnostic Radiology CurrentSince Nov 9, 2021 Accepting new patients
Catawba Radiological Associates, Inc. Diagnostic Radiology CurrentSince Jul 25, 2020 Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Apr 3, 2021 Accepting new patients
Wayne Radiologists, P.a. CurrentSince Dec 1, 2020 Accepting new patients
Tennessee Valley Radiology LLC Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Enloe Medical Center CurrentSince Jun 18, 2020 Accepting new patients
Oroville Hospital CurrentSince Aug 25, 2020 Accepting new patients
Bridgeport Medical Imaging, LLC Diagnostic Radiology CurrentSince Nov 9, 2021 Accepting new patients
Columbus Radiology Physicians LLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Enloe Medical Center CurrentSince Jun 18, 2020 Accepting new patients
Jason L Hwang MD Inc Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
South Florida Medical Imaging, PA Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Guthrie Medical Group, P.C. PastSince Mar 1, 2022 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.

View all 23

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.