Individual provider Active NPI

Robert D Heros, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tualatin, OR
National Provider Identifier
1588655708
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD27619 Issued in OR
Practice address
6464 SW Borland Rd
Suite C-1
Tualatin, OR 97062-9999
Phone
(503) 885-1515
Fax
(503) 885-1520
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD27619 OR Primary

Addresses

Primary practice location

6464 SW Borland Rd
Suite C-1
Tualatin, OR 97062-9999

Mailing address

6464 SW Borland Rd
Suite C-1
Tualatin, OR 97062-9999
Phone (503) 885-1515

Other identifiers 1

IdentifierTypeStateIssuer
278965MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20070831000342 OR Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 6507959897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
University of Tennessee, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spinal Diagnostics PCGroup PAC ID 3870588494, 4 clinicians

Practice addresses (Care Compare)

7790 SW Mohawk St
Tualatin, OR 97062-9191
Phone (503) 885-1515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
32.57 of 100Reported as group
Quality
0
Promoting interoperability
51
Improvement activities
0
Cost
66.08

National Provider Directory

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

Organizations & group practices 1

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 6

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1588655708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD",
            "address_2": "SUITE C-1",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629999",
            "telephone_number": "503-885-1515",
            "fax_number": "503-885-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD",
            "address_2": "SUITE C-1",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629999",
            "telephone_number": "503-885-1515",
            "fax_number": "503-885-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROS",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OR",
            "license": "MD27619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278965",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.