Individual provider Active NPI

Risa Rothmann Siegel, DO

  • Family Medicine Physician
  • Hillsboro, OR
National Provider Identifier
1619267887
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO202660 Issued in OR
Practice address
7305 SE Circuit Dr Ste 270
Hillsboro, OR 97123-1915
Phone
(503) 342-9931
NPI assigned
Apr 8, 2011
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO202660 OR Primary
Family Medicine Physician 207Q00000X 59982 MN

Addresses

Primary practice location

7305 SE Circuit Dr Ste 270
Hillsboro, OR 97123-1915

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other practice location 1

1665 Utica Ave S Ste 100
St Louis Park, MN 55416-3476
Phone (952) 541-2500

Other practice location 2

14000 Nicollet Ave Ste 100
Burnsville, MN 55337-5793
Phone (952) 428-0200

Other practice location 3

14000 Nicollet Ave Ste 100
Burnsville, MN 55337-5793
Phone (952) 428-0200

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE) Northwest Permanente PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WA, OR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20151203001877 MN Practitioner - Family Practice 6204052004 Reassigns benefits to 1 organization
I20210208002880 WA Practitioner - Family Practice 6204052004 Reassigns benefits to 1 organization
I20210209001816 OR Practitioner - Family Practice 6204052004 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59982MNMDFamily Medicine Physician
DO202660ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Feb 8, 2021 Accepting new patients
St. Francis Regional Medical Center CurrentSince May 15, 2018 Accepting new patients
St Francis Regional Medical Center CurrentSince May 15, 2018 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Feb 8, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Feb 8, 2021 Accepting new patients

Locations

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

10060 NE Evergreen Pkwy
Hillsboro, OR 97124
Phone (503) 645-2762

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Interoperability endpoints

  • Direct secure messaging: risa.siegel.1@14883.direct.athenahealth.com
  • Direct secure messaging: risa.siegel.1@19957.direct.athenahealth.com
  • Direct secure messaging: risa.siegel.1@30093.direct.athenahealth.com

Organizations & group practices 5

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1619267887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 SE CIRCUIT DR STE 270",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971231915",
            "telephone_number": "503-342-9931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 Utica Ave S Ste 100",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554163476",
            "country_code": "US",
            "telephone_number": "952-541-2500",
            "fax_number": "952-541-2539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14000 Nicollet Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553375793",
            "country_code": "US",
            "telephone_number": "952-428-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14000 Nicollet Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553375793",
            "country_code": "US",
            "telephone_number": "952-428-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "RISA",
        "middle_name": "ROTHMANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO202660",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "59982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Northwest Permanente PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10600 NE Evergreen Pkwy",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971247031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.