NPIMap

Individual provider Active NPI

Patrick Ryan Hungerford, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Medford, OR
National Provider Identifier
1710169099
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD151028 Issued in OR
Practice address
2900 Doctors Park Dr
Suite 200
Medford, OR 97504-8198
Phone
(541) 282-2200
Fax
(541) 210-5195
NPI assigned
Nov 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD151028 OR Primary

Addresses

Primary practice location

2900 Doctors Park Dr
Suite 200
Medford, OR 97504-8198

Mailing address

2900 Doctors Park Dr
Suite 200
Medford, OR 97504-8198
Phone (541) 282-2200

Other identifiers 1

IdentifierTypeStateIssuer
500622687MedicaidOR

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
I20100702000304 OR Practitioner - Endocrinology 6901937192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Eastern Virginia Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rogue Valley PhysiciansGroup PAC ID 1850374240, 22 clinicians

Practice addresses (Care Compare)

2900 Doctors Park Dr
Suite 200
Medford, OR 97504-8198
Phone (541) 282-2208

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005
  • Sutter Coast Hospital Hospital, Crescent City, CA, CCN 050417
  • Curry General Hospital Hospital, Gold Beach, OR, CCN 381322

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Valley Physicians PC CurrentSince May 2, 2014 Accepting new patients
Rogue Valley Physicians Current Accepting new patients
Rogue Valley Physicians CurrentSince May 2, 2014 Accepting new patients

Locations

615 S 2nd St
Central Point, OR 97502
Phone (541) 789-4004

2900 Doctors Park Dr
Ste 200
Medford, OR 97504
Phone (541) 282-2200

2900 Doctors Park Dr
Ste 250
Medford, OR 97504
Phone (541) 282-2208

Interoperability endpoints

  • Direct secure messaging: patrick.hungerford@direct.rvpdocs.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: patrick.rvphungerfordmd.p1@direct.rvpdocs.nextgenshare.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.

Hospital & facility affiliations 7

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": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1710169099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DOCTORS PARK DR",
            "address_2": "SUITE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048198",
            "telephone_number": "541-282-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DOCTORS PARK DR",
            "address_2": "SUITE 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048198",
            "telephone_number": "541-282-2200",
            "fax_number": "541-210-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGERFORD",
        "first_name": "PATRICK",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "MD151028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500622687",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.