NPIMap

Individual provider Active NPI

Andrea Lauer Chakrapani, M.D.

  • Dermatopathology (Pathology) Physician
  • Tigard, OR
National Provider Identifier
1659514958
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
MD160746 Issued in OR
Practice address
12254 SW Garden PL
Tigard, OR 97223-8246
Phone
(503) 906-7300
Fax
(503) 245-8219
NPI assigned
Apr 16, 2009
Last updated
Nov 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X MD160746 OR Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD160746 OR

Addresses

Primary practice location

12254 SW Garden PL
Tigard, OR 97223-8246

Mailing address

PO Box 230457
Tigard, OR 97281-0457
Phone (503) 906-7300

Other identifiers 1

IdentifierTypeStateIssuer
500653997MedicaidOR

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
I20140711000159 OR Practitioner - Pathology 5496900292 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Oregon Health Sciences University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-2213

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.44 of 100Reported as group
Quality
87
Promoting interoperability
100
Improvement activities
40
Cost
73.18

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
96.73

Merit-based Incentive Payment System (MIPS)

Final score
95.53 of 100Reported as group
Quality
96.2
Promoting interoperability
100
Improvement activities
40
Cost
84.49

Merit-based Incentive Payment System (MIPS)

Final score
94.39 of 100Reported as group
Quality
83
Promoting interoperability
100
Improvement activities
40
Cost
89.32

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
83.34
Promoting interoperability
100
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD160746ORMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Oct 1, 2018 Accepting new patients
Providence Health & Services - Oregon Anatomic Pathology & Clinical Pathology Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 10, 2018 Accepting new patients
Providence Health & Services - Oregon Anatomic Pathology & Clinical Pathology Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Dec 9, 2017 Accepting new patients
Providence Health & Services Oregon Anatomic Pathology & Clinical Pathology Current Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 14, 2017 Accepting new patients
Providence Health & Services Oregon CurrentSince Apr 10, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 10, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Apr 10, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 14, 2017 Accepting new patients
Providence Health & Services - Oregon CurrentSince Dec 9, 2017 Accepting new patients
Providence Health & Services - Oregon Anatomic Pathology & Clinical Pathology Current Accepting new patients
Providence Health & Services - Oregon Anatomic Pathology & Clinical Pathology CurrentSince Dec 9, 2017 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 10, 2018 Accepting new patients
Cta Oral Pathology Consultants of Michigan, PLLC Past Accepting new patients

Locations

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

Organizations & group practices 16

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 16

Hospital & facility affiliations 5

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": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1659514958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230457",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972810457",
            "telephone_number": "503-906-7300",
            "fax_number": "503-245-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12254 SW GARDEN PL",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238246",
            "telephone_number": "503-906-7300",
            "fax_number": "503-245-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKRAPANI",
        "first_name": "ANDREA",
        "middle_name": "LAUER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "OR",
            "license": "MD160746",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OR",
            "license": "MD160746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500653997",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.