Carl William Dronkowski, M.D.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

MD12788 Issued in OR

Practice address

12670 NW Barnes Rd Ste 100
Portland, OR 97229-9001

Phone

(503) 648-9565

Fax

(503) 648-1282

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Care Partners

  • Community Based Hospice Care Agency
  • Portland, OR
  • NPI 1255365904
  Medicare reassignment NPD
• Mid-Columbia Medical Center

  • Rural Health Clinic/Center
  • The Dalles, OR
  • NPI 1154351336

  Hospice and Palliative Medicine

  NPD (past)
• Mid-Columbia Medical Center

  • Rural Health Clinic/Center
  • The Dalles, OR
  • NPI 1407887052

  Internal Medicine

  NPD (past)
• Willamette Valley Clinics LLC

  • Family Medicine Physician
  • McMinnville, OR
  • NPI 1790740520

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1619904158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NE COMPTON DR STE 210",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066988",
            "telephone_number": "503-648-9565",
            "fax_number": "503-648-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 NW BARNES RD STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299001",
            "telephone_number": "503-648-9565",
            "fax_number": "503-648-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRONKOWSKI",
        "first_name": "CARL",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD12788",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OR",
            "license": "MD12788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8454571",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26310",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Driskill, LCSW
• Evelyn Driver
• Karen Janette Drlica, M.D.
• Julie A. Dromgoole, OT
• Christine F Drommond, PT
• Kathleen Denise Dronkowski, FNP
• Brittany Drosdak, MS
• Paul Craig Droukas, MD
• Daniel Drozdowski
• Stephanie Drozer

• Hospice and Palliative Medicine (Internal Medicine) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.