Active NPI
Rebecca Ann Anthony, MD
- Psychiatry Physician
- Portland, OR
National Provider Identifier
1467945006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD210671
- Practice address
- 5228 NE Hoyt St BLDG B3
Portland, OR 97213-3055 - Phone
- (503) 215-4860
- Fax
- (971) 282-0091
- NPI assigned
- Jun 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Portland, OR
- NPI 1164623401
-
- Clinic/Center
- Portland, OR
- NPI 1003319724
-
- Pediatrics Physician
- Longview, WA
- NPI 1104097906
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Internal Medicine Physician
- Sherwood, OR
- NPI 1184729329
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063570604
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Ohio State University College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health and Services Oregon
Practice addresses (Care Compare)
5228 NE Hoyt St
BLDG B
Portland, OR 97213-3055
Phone (503) 215-4860
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231008000026 | OR | Practitioner - Psychiatry | 7012262835 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD210671 | OR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Psychiatry | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Medical Group, PC | Past | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients |
Locations
5228 NE Hoyt St
Bldg B
Portland, OR 97213
Phone (503) 215-4860
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
Interoperability endpoints
- ranthony2978041@oc.providencedirect.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD210671 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5228 NE Hoyt St BLDG B3
Portland, OR 97213-3055
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2023.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1467945006",
"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": "5228 NE HOYT ST BLDG B3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972133055",
"telephone_number": "503-215-4860",
"fax_number": "971-282-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "REBECCA",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-08",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD210671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.