NPIMap

Individual provider Active NPI

Nicola Rotberg, MD

  • Obstetrics & Gynecology Physician
  • Hillsboro, OR
National Provider Identifier
1578644241
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD23173 Issued in OR
Practice address
5880 NE Cornell Rd
Suite C
Hillsboro, OR 97124-9000
Phone
(971) 228-8097
Fax
(971) 246-5144
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD23173 OR Primary

Addresses

Primary practice location

5880 NE Cornell Rd
Suite C
Hillsboro, OR 97124-9000

Mailing address

5880 NE Cornell Rd
Suite C
Hillsboro, OR 97124-9000
Phone (971) 228-8097

Other identifiers 1

IdentifierTypeStateIssuer
287236MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100420000680 OR Practitioner - Obstetrics/Gynecology 0840327052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Vermont College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grapevine Womens Health and Gynecology LLCGroup PAC ID 4880838465, 2 clinicians

Practice addresses (Care Compare)

5880 NE Cornell Rd
Suite C
Hillsboro, OR 97124-9075
Phone (971) 228-8097

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare Current Accepting new patients
Tuality Healthcare Current Accepting new patients
Tuality Healthcare CurrentSince Sep 4, 2001 Accepting new patients
Tuality Medical Group LLC Current Accepting new patients
Therapeutic Associates Inc PastSince Sep 3, 2013 Accepting new patients

Locations

364 SE 8th Ave
Ste 301
Hillsboro, OR 97123
Phone (503) 681-4233

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

Interoperability endpoints

  • Direct secure messaging: nicola.rotberg.1@7230.direct.athenahealth.com

Organizations & group practices 6

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 12

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1578644241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 NE CORNELL RD",
            "address_2": "SUITE C",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249000",
            "telephone_number": "971-228-8097",
            "fax_number": "971-246-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 NE CORNELL RD",
            "address_2": "SUITE C",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249000",
            "telephone_number": "971-228-8097",
            "fax_number": "971-246-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTBERG",
        "first_name": "NICOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD23173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287236",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.