Individual provider Active NPI

Darren G Alexander, MD

  • Emergency Medicine Physician
  • Portland, OR
National Provider Identifier
1487678256
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD23591 Issued in OR
Practice address
1015 NW 22ND Ave
Portland, OR 97210
Phone
(503) 464-9034
NPI assigned
Jul 26, 2006
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD23591 OR Primary

Addresses

Primary practice location

1015 NW 22ND Ave
Portland, OR 97210

Mailing address

6312 SW Capitol Hwy # 502
Portland, OR 97239-1938
Phone (503) 464-9034

Other identifiers 1

IdentifierTypeStateIssuer
228546MedicaidOR

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
I20040407000358 OR Practitioner - Emergency Medicine 5597758300 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
96.73

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
83.34
Promoting interoperability
100
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113078MOMDPsychiatric/Mental Health Registered Nurse
MD23591ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Apr 1, 2017 Accepting new patients
Providence Health & Services - Oregon Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Apr 1, 2017 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Providence Health & Services - Oregon Emergency Medicine Current Accepting new patients
The Covenant Group PA Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

Interoperability endpoints

  • Direct secure messaging: dalexander908040@oc.providencedirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1487678256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 SW CAPITOL HWY # 502",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391938",
            "telephone_number": "503-464-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-464-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "DARREN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD23591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228546",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.