Active NPI
Ann Marie Macasa, MD
- Rheumatology Physician
- Newberg, OR
National Provider Identifier
1417068198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD26899
- Practice address
- 402 Villa Rd
Newberg, OR 97132-1831 - Phone
- (503) 538-7500
- Fax
- (503) 538-9183
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MD26899 | OR | Primary |
Addresses
Primary practice location
402 Villa Rd
Newberg, OR 97132-1831
Mailing address
402 Villa Rd
Newberg, OR 97132-1831
Phone (503) 538-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247403 | Medicaid | OR |
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
- Rheumatology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
402 Villa Rd
Newberg, OR 97132-1831
Phone (503) 538-7500
Hospital & facility affiliations
- Willamette Valley Medical Center
- Samaritan North Lincoln Hospital
- Providence Newberg Medical Center
- Salem Hospital
- Legacy Meridian Park Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26899 | OR | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Valley Rheumatolgy PC | Rheumatology | Current | Accepting new patients |
| Willamette Valley Clinics LLC | Rheumatology | Past | Accepting new patients |
Locations
402 N Villa Rd
Newberg, OR 97132
Phone (503) 216-9600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FFBHAA/Endpoint/FFBHAA
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.
-
- Rheumatology Physician
- Newberg, OR
- NPI 1831324847
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Lincoln City, OR
- NPI 1306897491
-
- Hematology & Oncology Physician
- Lincoln City, OR
- NPI 1629338868
Hospital
-
- Cardiovascular Disease Physician
- Lincoln City, OR
- NPI 1841554177
Hospital
-
- General Acute Care Hospital
- McMinnville, OR
- NPI 1346269982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330300800000",
"number": "1417068198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 VILLA RD",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321831",
"telephone_number": "503-538-7500",
"fax_number": "503-538-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 VILLA RD",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321831",
"telephone_number": "503-538-7500",
"fax_number": "503-538-9183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACASA",
"first_name": "ANN MARIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2012-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "OR",
"license": "MD26899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "247403",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.