Active NPI
Ertan Raif Esmer, MD
- Otolaryngology Physician
- Tigard, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD25648
- Practice address
- 9250 SW Hall Blvd
Tigard, OR 97223 - Phone
- (503) 293-0161
- Fax
- (503) 452-3200
- NPI assigned
- Sep 28, 2006
- Last updated
- Jun 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD25648 | OR | Primary |
Addresses
Primary practice location
9250 SW Hall Blvd
Tigard, OR 97223
Mailing address
9250 SW Hall Blvd
Tigard, OR 97223
Phone (503) 293-0161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213442 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- West Virginia University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
815 SW Bond St
Suite 100
Bend, OR 97702-3593
Phone (541) 706-2525
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bend Memorial Clinic PC | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Current | Accepting new patients |
Locations
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
815 SW Bond St
Bend, OR 97702
Phone (541) 382-4900
815 SW Bond St
#100
Bend, OR 97702
Phone (541) 706-2525
Interoperability endpoints
- eesmer17633@directmsg.bmctotalcare.com
Organizations & group practices 2
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.
-
dba Bend Memorial Clinic PC dba Summit Health
- Clinical Medical Laboratory
- Bend, OR
- NPI 1972144913
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NW High Desert Sleep Center Bend
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1619069887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 SW HALL BLVD",
"city": "TIGARD",
"state": "OR",
"postal_code": "97223",
"telephone_number": "503-293-0161",
"fax_number": "503-452-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 SW HALL BLVD",
"city": "TIGARD",
"state": "OR",
"postal_code": "97223",
"telephone_number": "503-293-0161",
"fax_number": "503-452-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESMER",
"first_name": "ERTAN",
"middle_name": "RAIF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OR",
"license": "MD25648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213442",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.