NPIMap

Individual provider Active NPI

Viktoriya D Monroe, MD

  • Internal Medicine Physician
  • Beaverton, OR
National Provider Identifier
1649431693
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD155414 Issued in OR
Practice address
2725 SW Cedar Hills Blvd Ste 250
Beaverton, OR 97005-1469
Phone
(503) 415-4060
Fax
(503) 415-4061
NPI assigned
Jun 23, 2008
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD155414 OR Primary

Addresses

Primary practice location

2725 SW Cedar Hills Blvd Ste 250
Beaverton, OR 97005-1469

Mailing address

2725 SW Cedar Hills Blvd Ste 250
Beaverton, OR 97005-1469
Phone (503) 415-4060

Other identifiers 1

IdentifierTypeStateIssuer
500639018MedicaidOR

Other names 1

  • Viktoriya D Wolfer Former name

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
I20111012000724 OR Practitioner - HospitalistPractitioner - Internal Medicine 1153593363 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Oregon Health Sciences University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Meridian Park HospitalGroup PAC ID 5092609842, 113 clinicians

Practice addresses (Care Compare)

18010 SW McEwan Rd
Lake Oswego, OR 97035-7868
Phone (503) 525-7500

19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 413-4330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Meridian Park Hospital CurrentSince Sep 19, 2016 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Sep 19, 2016 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Sep 19, 2016 Accepting new patients
University Professional Services Current Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Sep 19, 2016 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Sep 19, 2016 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Sep 19, 2016 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Sep 19, 2016 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Sep 19, 2016 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 19, 2016 Accepting new patients
University Professional Services CurrentSince Mar 6, 2017 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Sep 19, 2016 Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

2725 SW Cedar Hills Blvd
Ste 250
Beaverton, OR 97005
Phone (503) 413-4060

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

24900 SE Stark St
Ste 109
Gresham, OR 97030
Phone (503) 667-1015

18010 SW McEwan Rd
Lake Oswego, OR 97035
Phone (503) 525-7500

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

500 N Columbia River Hwy
Ste 6
Saint Helens, OR 97051
Phone (503) 366-5101

36860 Industrial Way
Sandy, OR 97055
Phone (503) 668-4117

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

1002 N Boones Ferry Rd
Woodburn, OR 97071
Phone (503) 981-9526

Organizations & group practices 14

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.

View all 14

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1649431693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 SW CEDAR HILLS BLVD STE 250",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051469",
            "telephone_number": "503-415-4060",
            "fax_number": "503-415-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 SW CEDAR HILLS BLVD STE 250",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051469",
            "telephone_number": "503-415-4060",
            "fax_number": "503-415-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "VIKTORIYA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD155414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500639018",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIKTORIYA",
            "last_name": "WOLFER",
            "middle_name": "D",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.