Active NPI
Marcela Riveros Angel, MD
- Anatomic Pathology Physician
- Portland, OR
National Provider Identifier
1679798441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD203346
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-8276
- Fax
- (503) 494-2025
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 248332 | MA | |
| Anatomic Pathology Physician | 207ZP0101X | MD203346 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537
Phone (866) 617-6855
Other practice location 1
55 Lake Ave N
Department of Pathology
Worcester, MA 01655-0002
Phone (508) 793-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110089746A | Medicaid | MA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
Hospital & facility affiliations
- Ohsu Hospital and Clinics
- Adventist Health Portland
- Good Samaritan Regional Medical Center
- Legacy Good Samaritan Medical Center
- Hillsboro Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
1400 SW 5th Ave
Ste 500
Portland, OR 97201
Interoperability endpoints
- mangel133418@direct.ohsu.edu
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.
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
- Adult Mental Health Clinic/Center
- Portland, OR
- NPI 1750753687
Hospital & facility affiliations 37
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Corvallis, OR
- NPI 1134552003
Hospital
-
- Obstetrics & Gynecology Physician
- Corvallis, OR
- NPI 1275882102
Hospital
-
- Infectious Disease Physician
- Corvallis, OR
- NPI 1407112642
Hospital
-
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1679798441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SW 5TH AVE STE 500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015537",
"telephone_number": "866-617-6855",
"fax_number": "503-346-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8276",
"fax_number": "503-494-2025"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_2": "Department of Pathology",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-793-6100",
"fax_number": "508-793-6110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVEROS ANGEL",
"first_name": "MARCELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MA",
"license": "248332",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "OR",
"license": "MD203346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110089746A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.