Active NPI
Peter Feldman, M.D.
- Surgery Physician
- Portland, OR
National Provider Identifier
1700969169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD10743
- Practice address
- 9427 SW Barnes Rd
Portland, OR 97225-6652 - Phone
- (503) 203-2040
- NPI assigned
- Oct 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD10743 | OR | Primary |
| Surgery Physician | 208600000X | MD00035596 | WA |
Addresses
Primary practice location
9427 SW Barnes Rd
Portland, OR 97225-6652
Mailing address
500 NE Multnomah St Ste 100
Portland, OR 97232-2031
Phone (503) 285-9321
Other names 1
- Dr. Peter Michael Feldman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10743 | OR | MD | Specialist |
| MD10743 | OR | MD | Surgery Physician |
| MD00035596 | WA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1700969169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322031",
"telephone_number": "503-285-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9427 SW BARNES RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256652",
"telephone_number": "503-203-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-21",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD10743",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00035596",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PETER",
"last_name": "FELDMAN",
"middle_name": "MICHAEL",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.