Active NPI
Trevor J Vembu Moerkerke, M.D.
- Family Medicine Physician
- Hillsboro, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD165926
- Practice address
- 7305 SE Circuit Dr Ste 180
Hillsboro, OR 97123-1915 - Phone
- (971) 501-4930
- NPI assigned
- Apr 13, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD165926 | OR | Primary |
Addresses
Primary practice location
7305 SE Circuit Dr Ste 180
Hillsboro, OR 97123-1915
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other names 1
- Trevor J Moerkerke
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmoerkerke1763204@oc.providencedirect.org |
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
- Family Practice
- Education
- Oregon Health Sciences University School of Medicine, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 3158
Portland, OR 97208-3158
PO Box
Suite 568
Cornelius, OR 97113-0568
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD165926 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Family Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Bridgeport Family Medicine LLC | Family Medicine | Past | Accepting new patients |
Locations
200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500
9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960
440 NW Division St
Gresham, OR 97030
Phone (503) 215-9500
5555 NE Elam Young Pkwy
Hillsboro, OR 97124
Phone (503) 216-1600
7305 SE Circuit Dr
Ste 180
Hillsboro, OR 97129
Phone (971) 501-4930
1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621
5330 NE Glisan St
Ste 100
Portland, OR 97213
Phone (503) 215-9700
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
10330 SE 32nd Ave
Ste 205
Portland, OR 97222
Phone (503) 513-8950
1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172
12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900
18040 SW Lower Boones Ferry Rd
Ste 100
Tigard, OR 97224
Phone (503) 216-0624
Interoperability endpoints
- trevor.moerkerke@897273817595908.direct.elationemr.com
- tmoerkerke139769@direct.ochin.org
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Cornelius, OR
- NPI 1679528012
-
- Family Medicine Physician
- Hillsboro, OR
- NPI 1003916354
-
- Family Medicine Physician
- Gresham, OR
- NPI 1053419218
-
- Cardiovascular Disease Physician
- Portland, OR
- NPI 1750608139
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Family Medicine Physician
- Tigard, OR
- NPI 1205236445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1437449287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7305 SE CIRCUIT DR STE 180",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971231915",
"telephone_number": "971-501-4930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEMBU MOERKERKE",
"first_name": "TREVOR",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-13",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD165926",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmoerkerke1763204@oc.providencedirect.org",
"affiliation": "N",
"address_1": "18040 SW Lower Boones Ferry Rd Ste 100",
"city": "Tigard",
"state": "OR",
"country_code": "US",
"postal_code": "972247259",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TREVOR",
"last_name": "MOERKERKE",
"middle_name": "J",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.