NPIMap

Individual provider Active NPI

Phillip D Baker, MD

  • Diagnostic Radiology Physician
  • Portland, OR
National Provider Identifier
1497781355
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD18935 Issued in OR
Practice address
1015 NW 22ND Ave
Ste T240
Portland, OR 97210-3025
Phone
(503) 413-7127
Fax
(503) 227-0218
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD18935 OR Primary

Addresses

Primary practice location

1015 NW 22ND Ave
Ste T240
Portland, OR 97210-3025

Mailing address

1015 NW 22ND Ave
Portland, OR 97210-3025

Other identifiers 3

IdentifierTypeStateIssuer
028036012OtherORBCBS REGENCE
P00282471OtherORRAILROAD MEDICARE
130068MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060303000090 OR Practitioner - Diagnostic Radiology 0749296531 Reassigns benefits to 2 organizations
I20170206001449 WA Practitioner - Diagnostic Radiology 0749296531 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians
Public Hospital District No. 2, Klickitat County, WashingtonGroup PAC ID 4981592144, 40 clinicians
TS Radiology Billings LLCGroup PAC ID 0840221230, 14 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7800

211 NE Skyline Dr
White Salmon, WA 98672-1948
Phone (509) 493-1101

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (971) 340-2758

Hospital & facility affiliations

  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025
  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Skyline Hospital Hospital, White Salmon, WA, CCN 501315

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.66 of 100Reported as group
Quality
97.85
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Jun 7, 2023 Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington CurrentSince Jul 1, 2025 Accepting new patients
Legacy Clinics LLC Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients

Locations

2725 SW Cedar Hills Blvd
Ste 225
Beaverton, OR 97005

2725 SW Cedar Hills Blvd
Ste 250
Beaverton, OR 97005
Phone (503) 413-4060

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1015 NW 22nd Ave
Ste T240
Portland, OR 97210
Phone (503) 413-7127

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

475 S Columbia River Hwy
Saint Helens, OR 97051
Phone (503) 397-8040

475 S Columbia River Hwy
Ste 110
Saint Helens, OR 97051
Phone (503) 397-1192

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

19250 SW 65th Ave
Ste 300
Tualatin, OR 97062
Phone (503) 692-1242

212 NE Skyline Dr
White Salmon, WA 98672
Phone (509) 493-2133

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1497781355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE",
            "address_2": "STE T240",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103025",
            "telephone_number": "503-413-7127",
            "fax_number": "503-227-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "PHILLIP",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD18935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS REGENCE",
            "identifier": "028036012",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00282471",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130068",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.