Michael K Rodgers, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD19975 Issued in OR

Practice address

207 NE 19TH St
McMinnville, OR 97128-9927

Phone

(503) 435-1077

Fax

(503) 883-5831

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McMinnville Immediate Health Care LLCGroup PAC ID 6800160847, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Willamette Valley Medical Center Hospital, McMinnville, OR, CCN 380071

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.rodgers.1@1814.direct.athenahealth.com
• Direct secure messaging: michael.rodgers.2@1814.direct.athenahealth.com

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.

• McMinnville Immediate Health Care LLC

  • Urgent Care Clinic/Center
  • McMinnville, OR
  • NPI 1932621141
  Medicare reassignment Care Compare group NPD
• Providence Health & Services Oregon

  • Home Infusion Therapy Pharmacy
  • Portland, OR
  • NPI 1427132265
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Willamette Valley Medical Center LLC

  • General Acute Care Hospital
  • McMinnville, OR
  • NPI 1346269982
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1730114075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 NE 19TH ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289927",
            "telephone_number": "503-435-4514",
            "fax_number": "503-435-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 NE 19TH ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289927",
            "telephone_number": "503-435-1077",
            "fax_number": "503-883-5831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Villa Rd",
            "address_2": "Suite 114",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971321881",
            "country_code": "US",
            "telephone_number": "503-537-1850",
            "fax_number": "503-537-1851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD19975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00239977",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Rivera, PMHNP-BC
• Jaimie K Robinson
• Jordan James Robinson
• Martin Ray Robison
• Stacey Roddick
• Sarah Rodriguez-Kammerzelt, RN
• Gabriel Rodriguez
• Diane Roelandt
• Megan Rogers, DPT
• Joshua C Rojas

• Family Medicine Physician in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.

Verify at the official NPI Registry.