NPIMap

Individual provider Active NPI

David P Ciaverella, DO

  • Diagnostic Radiology Physician
  • Portland, OR
National Provider Identifier
1689659047
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO22260 Issued in OR
Practice address
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone
(503) 575-2521
Fax
(503) 389-7997
NPI assigned
Dec 8, 2005
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DO22260 OR Primary

Addresses

Primary practice location

2801 N Gantenbein Ave
Portland, OR 97227-1623

Mailing address

PO Box 10768
Portland, OR 97296-0768
Phone (503) 575-2521

Other identifiers 4

IdentifierTypeStateIssuer
P00059728OtherORRR MC
8273336MedicaidWA
840126007OtherORREGENCE BC/BS
287864MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, FL, UT3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040524001464 OR Practitioner - Diagnostic Radiology 9234110529 Reassigns benefits to 5 organizations
I20251112004337 FL Practitioner - Diagnostic Radiology 9234110529 Reassigns benefits to 1 organization
I20260320003242 UT Practitioner - Diagnostic Radiology 9234110529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Pacific Imaging Associates LLCGroup PAC ID 3577923499, 69 clinicians
TS Radiology Billings LLCGroup PAC ID 0840221230, 14 clinicians

Practice addresses (Care Compare)

01641 SW Comus St
Portland, OR 97219-7858
Phone (904) 399-5550

1000 3Rd St
Tillamook, OR 97141-3430
Phone (503) 815-2260

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7800

19250 SW 65TH Ave
Suite 300
Tualatin, OR 97062-7707
Phone (503) 413-7800

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 413-7800

25050 SE Stark St
Gresham, OR 97030-3388

2725 SW Cedar Hills Blvd
Suite 225
Beaverton, OR 97005-1416
Phone (503) 413-7800

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (971) 340-2758

36860 Industrial Way
Sandy, OR 97055-7371
Phone (503) 826-0206

60338 Hedgewood LN
Bend, OR 97702-9380
Phone (904) 399-5550

9870 SE French Acres Dr
Happy Valley, OR 97086-6912
Phone (904) 399-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.66 of 100Reported as group
Quality
97.85
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as group
Quality
71.23
Promoting interoperability
88
Improvement activities
40
Cost
81.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Foundation of Tillamook CurrentSince Dec 4, 2023 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Precision Radiology - Illinois LTD CurrentSince Dec 1, 2024 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Dec 4, 2023 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Jan 1, 2026 Accepting new patients
Northwest Medical Foundation of Tillamook Current Accepting new patients
Advanced Medical Imaging Center LLC Diagnostic Radiology Past Accepting new patients
The Oregon Clinic, PC Past Accepting new patients
Radiology Specialists of the Northwest, PC Diagnostic Radiology PastSince Aug 1, 2015 Accepting new patients
Columbia Imaging Group, PS Diagnostic Radiology Past Accepting new patients
Legacy Emanuel Hospital & Health Center Past Accepting new patients
Portland Medical Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

2725 SW Cedar Hills Blvd
Ste 225
Beaverton, OR 97005

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

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

475 S Columbia River Hwy
Saint Helens, OR 97051
Phone (503) 397-8040

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

19250 SW 65th Ave
Ste 300
Tualatin, OR 97062
Phone (503) 692-1242

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 8

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1689659047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10768",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972960768",
            "telephone_number": "503-575-2521",
            "fax_number": "503-389-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N GANTENBEIN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271623",
            "telephone_number": "503-575-2521",
            "fax_number": "503-389-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAVERELLA",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "DO22260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "P00059728",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8273336",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BC/BS",
            "identifier": "840126007",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287864",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.