Individual provider Active NPI

Andrew Bailey Pace, M.D.

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1568826196
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A178463 Issued in CA
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-8211
NPI assigned
Apr 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A178463 CA Primary

Addresses

Primary practice location

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

Mailing address

2801 Daggett Ave
Klamath Falls, OR 97601-7150
Phone (541) 274-4611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200615002219 AZ Practitioner - Family Practice 5092094649 Reassigns benefits to 2 organizations
I20230414000987 CA Practitioner - Family Practice 5092094649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enloe Health and WellnessGroup PAC ID 3678946282, 38 clinicians

Practice addresses (Care Compare)

1601 Esplanade
Suite 4
Chico, CA 95926-3370
Phone (530) 332-9760

Hospital & facility affiliations

  • Butte Home Health and Hospice Home health agency, Chico, CA, CCN 057679
  • Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A178463CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Jul 6, 2020 Accepting new patients
Enloe Health and Wellness CurrentSince Dec 22, 2022 Accepting new patients
Enloe Health and Wellness CurrentSince Dec 22, 2022 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 6, 2020 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jul 6, 2020 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jul 6, 2020 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
S Pannu Inc Past Accepting new patients

Locations

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

1601 Esplanade
Chico, CA 95926
Phone (530) 332-7148

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

1601 Esplanade
Ste 4
Chico, CA 95926
Phone (530) 332-9760

Interoperability endpoints

  • Direct secure messaging: apace65360@enloedirect.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1460246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1568826196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976017150",
            "telephone_number": "541-274-4611"
        },
        {
            "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": "503-494-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY PACE",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A178463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.