Individual provider Active NPI

Stephen Pool, M.D.

  • Dermatopathology (Pathology) Physician
  • Redmond, OR
National Provider Identifier
1407997596
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
MD23159 Issued in OR
Practice address
813 SW Highland Ave Ste 202
Redmond, OR 97756-3103
Phone
(503) 906-7300
Fax
(503) 245-8219
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD23159 OR
Dermatopathology (Pathology) Physician 207ZD0900X MD23159 OR Primary

Addresses

Primary practice location

813 SW Highland Ave Ste 202
Redmond, OR 97756-3103

Mailing address

PO Box 230457
Portland, OR 97281-0457
Phone (503) 906-7300

Other practice location 1

9750 SW Nimbus Ave
Beaverton, OR 97008-7172
Phone (503) 906-7300

Other identifiers 1

IdentifierTypeStateIssuer
287124MedicaidOR

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
I20071030000050 OR Practitioner - Pathology 0547280802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis T. Thompson, M.D. & Associates, PLLC Dermatopathology CurrentSince Dec 1, 2017 Accepting new patients
Cta Oral Pathology Consultants of Michigan, PLLC Past Accepting new patients

Locations

9750 SW Nimbus Ave
Beaverton, OR 97008

12254 SW Garden Pl
Tigard, OR 97223
Phone (971) 280-6738

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1407997596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230457",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972810457",
            "telephone_number": "503-906-7300",
            "fax_number": "541-322-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 SW HIGHLAND AVE STE 202",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563103",
            "telephone_number": "503-906-7300",
            "fax_number": "503-245-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9750 SW Nimbus Ave",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970087172",
            "country_code": "US",
            "telephone_number": "503-906-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOL",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OR",
            "license": "MD23159",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "OR",
            "license": "MD23159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287124",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.