Individual provider Active NPI

Amy Doss Bednar, M.D.

  • Maternal & Fetal Medicine Physician
  • Portland, OR
National Provider Identifier
1659574648
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
S9849 Issued in TX
Practice address
300 N Graham St
Suite 100
Portland, OR 97227-1683
Phone
(503) 413-1122
Fax
(503) 413-4238
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 153872 OR
Maternal & Fetal Medicine Physician 207VM0101X 153872 OR
Maternal & Fetal Medicine Physician 207VM0101X S9849 TX Primary

Addresses

Primary practice location

300 N Graham St
Suite 100
Portland, OR 97227-1683

Mailing address

12200 Renfert Way Ste G-3
Austin, TX 78758-5654
Phone (512) 821-2540

Other practice location 1

12200 Renfert Way Ste G-3
Austin, TX 78758-5654
Phone (512) 821-2540

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AMY.BEDNAR@hca8.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20210430000323 TX Practitioner - Obstetrics/Gynecology 3072667047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Specialized Womens Services PLLCGroup PAC ID 1254478951, 26 clinicians

Practice addresses (Care Compare)

12200 Renfert Way
Suite G3
Austin, TX 78758-5654
Phone (512) 821-2540

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
153872ORMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. David's Specialized Women's Services, PLLC Maternal & Fetal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Methodist Physician Practices, PLLC Maternal & Fetal Medicine PastSince Jun 1, 2021 Accepting new patients
St Davids Heart & Vascular, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12200 Renfert Way
Ste G-3
Austin, TX 78758

14425 Falcon Head Blvd
Bldg A
Austin, TX 78738
Phone (512) 261-3802

1401 Medical Pkwy
Ste 150
Cedar Park, TX 78613
Phone (512) 901-4002

Interoperability endpoints

  • Direct secure messaging: adoss99866@direct.lhs.org
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
  • Direct secure messaging: amy.bednar@hca8.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1659574648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 RENFERT WAY STE G-3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585654",
            "telephone_number": "512-821-2540",
            "fax_number": "512-776-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N GRAHAM ST",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271683",
            "telephone_number": "503-413-1122",
            "fax_number": "503-413-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Renfert Way Ste G-3",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787585654",
            "country_code": "US",
            "telephone_number": "512-821-2540",
            "fax_number": "512-776-1956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDNAR",
        "first_name": "AMY",
        "middle_name": "DOSS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-01-04",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "153872",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OR",
            "license": "153872",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "S9849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMY.BEDNAR@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12200 Renfert Way Ste G-3",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787585654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.