Individual provider Active NPI

Michael Bespaly, M.D.

  • Interventional Pain Medicine Physician
  • Oregon City, OR
National Provider Identifier
1578513867
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD20637 Issued in OR
Practice address
512 7TH Street
Oregon City, OR 97045-1853
Phone
(503) 742-0632
Fax
(503) 387-3106
NPI assigned
May 10, 2006
Last updated
Sep 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD20637 OR
Interventional Pain Medicine Physician 208VP0014X MD20637 OR Primary

Addresses

Primary practice location

512 7TH Street
Oregon City, OR 97045-1853

Mailing address

PO Box 1836
Oregon City, OR 97045-0836
Phone (503) 742-0632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230608001437 FL Practitioner - Anesthesiology 4385666247 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20637ORMDMechanotherapist
MD20637ORMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Anesthesia Services, LLC Anesthesiology CurrentSince Jul 5, 2023 Accepting new patients
Sarasota Anesthesia Services LLC Anesthesiology CurrentSince Jul 5, 2023 Accepting new patients
Sarasota Ambulatory Surgery Center LTD Current Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Space Coast Anesthesia Services LLC Anesthesiology CurrentSince Jul 5, 2023 Accepting new patients
Blue Cloud Anesthesia, LLC Anesthesiology Past Accepting new patients
Willamette Anesthesiology Group Anesthesiology Past Accepting new patients

Locations

7207 Golden Wings Rd
Ste 200
Jacksonville, FL 32244
Phone (904) 389-1014

595 N Courtenay Pkwy
Ste 103
Merritt Island, FL 32953
Phone (321) 890-1800

8300 Collier Blvd
Naples, FL 34114
Phone (239) 348-4000

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1578513867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1836",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970450836",
            "telephone_number": "503-742-0632",
            "fax_number": "503-387-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 7TH STREET",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451853",
            "telephone_number": "503-742-0632",
            "fax_number": "503-387-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESPALY",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD20637",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OR",
            "license": "MD20637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.