NPIMap

Individual provider Active NPI

Elliot Michael, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hillsboro, OR
National Provider Identifier
1679682439
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP00179 Issued in OR
Practice address
862 SE Oak St Ste 1a
Hillsboro, OR 97123-4240
Phone
(503) 648-2200
Fax
(503) 693-1004
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DP00179 OR Primary

Addresses

Primary practice location

862 SE Oak St Ste 1a
Hillsboro, OR 97123-4240

Mailing address

862 SE Oak Street Suite 1a
Hillsboro, OR 97123-4240
Phone (503) 648-2200

Other identifiers 3

IdentifierTypeStateIssuer
0950720001OtherORDMERC
162131MedicaidOR
0977970001OtherORDMERC

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
I20070522000605 OR Practitioner - Podiatry 0143327387 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillsboro Foot and Ankle Clinic, PCGroup PAC ID 6305935578, 2 clinicians

Practice addresses (Care Compare)

1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074

2800 N Vancouver Ave
Suite 230
Portland, OR 97227-1668
Phone (503) 413-4340

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2042

862 SE Oak St
Suite 1a
Hillsboro, OR 97123-4240
Phone (503) 648-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
76.53

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue55
Removal of nail tissue93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00179ORMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare CurrentSince Aug 1, 2015 Accepting new patients
Tuality Healthcare Current Accepting new patients
Tuality Medical Group LLC CurrentSince Dec 1, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jul 21, 2010 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Jul 21, 2010 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jul 21, 2010 Accepting new patients
Tuality Healthcare CurrentSince Aug 1, 2015 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Hillsboro Foot & Ankle Clinic, PC Foot & Ankle Surgery CurrentSince Sep 1, 2007 Accepting new patients
Tuality Medical Group LLC CurrentSince Dec 12, 2017 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Jul 21, 2010 Accepting new patients
Hillsboro Foot & Ankle Clinic PC Foot & Ankle Surgery Past Accepting new patients

Locations

862 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-2200

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

364 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-4145

862 SE Oak St
Ste 1A
Hillsboro, OR 97123
Phone (503) 648-2200

2800 N Vancouver Ave
Ste 201
Portland, OR 97227
Phone (503) 276-9000

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

15 N Morris St
Ste 580
Portland, OR 97227
Phone (503) 528-0704

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

Organizations & group practices 13

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.

View all 13

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679682439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 SE OAK STREET SUITE 1A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234240",
            "telephone_number": "503-648-2200",
            "fax_number": "503-693-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 SE OAK ST STE 1A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234240",
            "telephone_number": "503-648-2200",
            "fax_number": "503-693-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "ELLIOT",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0950720001",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162131",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0977970001",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.