Timothy John Fernstrom, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO26647 Issued in OR

Practice address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Phone

(503) 494-9000

NPI assigned

May 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, PA, NY, GA, CA, IL, VA, AZ, DE, WV, IN, OK, MT, OH, TX, ME, AR, MO, AL, SC, KY, ID, KS, NC, NM, FL27 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 27

Specialty

Internal Medicine

Education

University of New England, College of Osteo Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Critical Care Physicians of Illinois LLCGroup PAC ID 7012179294, 41 clinicians

Critical Care Physician of New York PCGroup PAC ID 4688825839, 43 clinicians

Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Critical Care Physicians of Pennsylvania PCGroup PAC ID 2466610498, 51 clinicians

Hospitalist Medicine Physicians of New Mexico-TCG LLCGroup PAC ID 7810248218, 20 clinicians

Hospitalist Medicine Physicians of Montana - Missoula PCGroup PAC ID 4688050347, 10 clinicians

Cogent Healthcare of Texas PAGroup PAC ID 8628076924, 113 clinicians

Sound Physicians Intensivists of Georgia PCGroup PAC ID 5193138634, 20 clinicians

Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Hospitalist Medicine Physicians of Ohio - Fairfield Professional CorGroup PAC ID 1456706886, 16 clinicians

Hospitalist Medicine Physicians of Idaho-TCG, PLLCGroup PAC ID 0345760849, 10 clinicians

Hospitalist Medicine Physicians of Delaware, PAGroup PAC ID 2062679772, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
• Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037
• Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031
• Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201
• Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 44)

Interoperability endpoints

• Direct secure messaging: tfernstr@yourcarecommunity.org
• Direct secure messaging: tfernstrom355222@direct.wvuhsdirect.com
• Direct secure messaging: tfernstrom145511@cityofhope.direct-ci.com

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.

• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  AL, AR, FL, GA, IN, Internal Medicine, KY, ME, MO, MT, NC, NM, NY, OH, OK, OR, SC, TX, VA

  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992722953

  Internal Medicine, TX

  Medicare reassignment Care Compare group NPD
• Critical Care Physicians of Illinois LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Aurora, IL
  • NPI 1508134966

  Critical Care Medicine, IL, IN

  Medicare reassignment Care Compare group NPD
• Critical Care Physicians of Pennsylvania PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Darby, PA
  • NPI 1952670085

  Critical Care Medicine, PA

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Delaware, PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Wilmington, DE
  • NPI 1780951814

  Critical Care Medicine, DE

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Idaho-TCG, PLLC

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1104305648

  ID, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Montana - Missoula PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Missoula, MT
  • NPI 1841925203

  Critical Care Medicine, MT

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of New Mexico-TCG LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Cruces, NM
  • NPI 1376022822

  Internal Medicine, NM

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Ohio - Fairfield Professional Cor

  • Critical Care Medicine (Internal Medicine) Physician
  • Steubenville, OH
  • NPI 1447981303

  Critical Care Medicine, OH

  Medicare reassignment Care Compare group NPD
• Inpatient Specialists of California, PC

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1952792475

  CA, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Shannon Clinic

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1770587149

  Internal Medicine, TX

  Medicare reassignment Care Compare group NPD
• Sound Physicians Intensivists of Georgia PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Macon, GA
  • NPI 1376159590

  Critical Care Medicine, GA

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franciscan Health Olympia Fields

  • General Acute Care Hospital
  • Olympia Fields, IL
  • NPI 1588771919

  Hospital

  Care Compare affiliation
• Hancock Regional Hospital

  • General Acute Care Hospital
  • Greenfield, IN
  • NPI 1467485003

  Hospital

  Care Compare affiliation
• Kaweah Delta Health Care District

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769

  Hospital

  Care Compare affiliation
• Macon Northside Hospital, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1811940976

  Hospital

  Care Compare affiliation
• Wellstar Spalding Regional Hospital, Inc

  • General Acute Care Hospital
  • Griffin, GA
  • NPI 1972535318

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1457552168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1768 BUSINESS CENTER DR STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905359",
            "telephone_number": "800-762-9244",
            "fax_number": "786-672-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1768 Business Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905359",
            "country_code": "US",
            "telephone_number": "800-762-9244",
            "fax_number": "786-672-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNSTROM",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "81905",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OR",
            "license": "DO26647",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "DO26647",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO26647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Grace Douglass Fernando, PNP
• Wyatt Fernelius, QMHA
• Fernhill Estates, LLC
• Tessa Fernholz
• Bruce Fernstrom, PA-C
• Lorelyn Fernweh, PA
• Ricardo Arturo Ferral Rojas, MD
• Kathryn Ferrandino
• Christopher R Ferrante, LPC
• Theresa A Ferrante, LCSW

• All providers in Portland, OR
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.

Verify at the official NPI Registry.