Individual provider Active NPI

Rahul Joseph D'Mello, MD, PHD

  • Maternal & Fetal Medicine Physician
  • Portland, OR
National Provider Identifier
1578099941
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD203797 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
ML-466
Portland, OR 97239-3098
Phone
(503) 418-4500
Fax
(503) 494-1678
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD203797 OR
Maternal & Fetal Medicine Physician 207VM0101X MD61275846 WA
Student in an Organized Health Care Education/Training Program 390200000X
Maternal & Fetal Medicine Physician 207VM0101X MD203797 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
ML-466
Portland, OR 97239-3098

Mailing address

3181 SW Sam Jackson Park Rd
ML-466
Portland, OR 97239-3011
Phone (971) 254-7664

Other practice location 1

3980 John R
7-Brush N, MB#165
Detroit, MI 48201
Phone (313) 993-4030

Other practice location 2

2211 NE 139th St
Vancouver, WA 98686-2742
Phone (360) 487-1000

Other practice location 3

505 NE 87th Ave Ste 160
Vancouver, WA 98664-1965
Phone (360) 514-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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
I20210608001040 OR Practitioner - Obstetrics/Gynecology 5799054342 Reassigns benefits to 2 organizations
I20240731003112 WA Practitioner - Obstetrics/Gynecology 5799054342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD203797ORMDObstetrics & Gynecology Physician
MD61275846WAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Vancouver Clinic Inc PS Obstetrics & Gynecology Current Accepting new patients
Tuality Medical Group LLC CurrentSince Jun 1, 2021 Accepting new patients
University Professional Services CurrentSince Jun 1, 2021 Accepting new patients
Peacehealth CurrentSince Aug 19, 2024 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Sep 10, 2024 Accepting new patients
Tuality Medical Group LLC CurrentSince Jun 1, 2021 Accepting new patients
University Professional Services Current Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Sep 10, 2024 Accepting new patients
University Professional Services CurrentSince Jun 1, 2021 Accepting new patients
Oregon Health & Science University Past Accepting new patients
University Professional Services Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

3181 SW Sam Jackson Park Rd
#466
Portland, OR 97239
Phone (503) 418-4500

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

2525 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1500

505 NE 87th Ave
Ste 160
Vancouver, WA 98664
Phone (360) 256-4500

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

Interoperability endpoints

  • Direct secure messaging: rdmello662769@direct.peacehealth.org
  • Direct secure messaging: rdmello133815@direct.ohsu.edu

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1578099941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "ML-466",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "971-254-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "ML-466",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393098",
            "telephone_number": "503-418-4500",
            "fax_number": "503-494-1678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3980 John R",
            "address_2": "7-Brush N, MB#165",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48201",
            "country_code": "US",
            "telephone_number": "313-993-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 NE 139th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862742",
            "country_code": "US",
            "telephone_number": "360-487-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 NE 87th Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641965",
            "country_code": "US",
            "telephone_number": "360-514-1060",
            "fax_number": "360-514-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'MELLO",
        "first_name": "RAHUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD203797",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WA",
            "license": "MD61275846",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OR",
            "license": "MD203797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.