NPIMap

Individual provider Active NPI

Sara Spettel, MD

  • Urology Physician
  • Portland, OR
National Provider Identifier
1750544243
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD161428 Issued in OR
Practice address
9135 SW Barnes Rd
Suite 663
Portland, OR 97225-6646
Phone
(503) 297-1078
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD161428 OR Primary

Addresses

Primary practice location

9135 SW Barnes Rd
Suite 663
Portland, OR 97225-6646

Mailing address

9135 SW Barnes Rd
Suite 663
Portland, OR 97225-6646
Phone (503) 297-1078

Other names 1

  • Sara Spettel Aliyar Other name

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
I20130829000078 OR Practitioner - Urology 3375786916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Urology LLCGroup PAC ID 2668783770, 14 clinicians

Practice addresses (Care Compare)

9135 SW Barnes Rd
Suite 663
Portland, OR 97225-6683
Phone (503) 297-1078

Hospital & facility affiliations

  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Columbia Memorial Hospital Hospital, Astoria, OR, CCN 381320
  • Providence Newberg Medical Center Hospital, Newberg, OR, CCN 380037
  • Providence Seaside Hospital Hospital, Seaside, OR, CCN 381303

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as individual
Quality
83.98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
62.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD161428ORMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urologic Consultants PC Urology Current Accepting new patients
Northwest Urological Clinic PC Current Accepting new patients
Northwest Urology, LLC CurrentSince Jun 16, 2015 Accepting new patients

Locations

9135 SW Barnes Rd
Ste 663
Portland, OR 97225
Phone (503) 297-1078

2230 NW Pettygrove St
Ste 210
Portland, OR 97210

Interoperability endpoints

  • Direct secure messaging: sara.spettel.1@11085.direct.athenahealth.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 10

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1750544243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD",
            "address_2": "SUITE 663",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256646",
            "telephone_number": "503-297-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD",
            "address_2": "SUITE 663",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256646",
            "telephone_number": "503-297-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPETTEL",
        "first_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD161428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "SPETTEL ALIYAR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.