Individual provider Active NPI

Louis M D'Avignon, MD

  • Pulmonary Disease Physician
  • Bend, OR
National Provider Identifier
1760583389
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD156691 Issued in OR
Practice address
1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone
(541) 328-2811
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X M3508 TX
Internal Medicine Physician 207R00000X MD156691 OR
Critical Care Medicine (Internal Medicine) Physician 207RC0200X M3508 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD156691 OR
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 71944 AZ
Pulmonary Disease Physician 207RP1001X 71944 AZ
Pulmonary Disease Physician 207RP1001X MD156691 OR Primary

Addresses

Primary practice location

1501 NE Medical Center Dr
Bend, OR 97701-6051

Mailing address

1501 NE Medical Center Dr
Bend, OR 97701-6051
Phone (541) 328-2811

Other practice location 1

9060 E Via Linda Ste 250
Scottsdale, AZ 85258-5425
Phone (480) 614-2000

Other identifiers 3

IdentifierTypeStateIssuer
P01190239OtherORMEDICARE RAILROAD
500648658MedicaidOR
211410MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldavignon4607@directmsg.bmctotalcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080718000388 TX Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9537232889 Reassigns benefits to 1 organization
I20120822000161 OR Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9537232889 Reassigns benefits to 1 organization
I20240613003743 AZ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 9537232889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of South Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bend Memorial Clinic PCGroup PAC ID 7214936533, 225 clinicians
Arizona Pulmonary Specialists LTDGroup PAC ID 7618863192, 44 clinicians

Practice addresses (Care Compare)

1501 NE Medical Ctr Dr
Bend, OR 97701-6051
Phone (541) 382-2811

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

9060 E Via Linda
Suite 250
Scottsdale, AZ 85258-5425
Phone (602) 261-7830

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3508TXMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pulmonary Specialists LTD Critical Care Medicine CurrentSince Jul 1, 2024 Accepting new patients
Bend Memorial Clinic PC CurrentSince Jul 30, 2012 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Feb 26, 2024 Accepting new patients
Bend Memorial Clinic PC Family Medicine CurrentSince Jul 30, 2012 Accepting new patients
Alaska Native Tribal Health Consortium Past Accepting new patients
Pulmonary Consultants of San Antonio, PA Critical Care Medicine Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

9060 E Via Linda
Ste 250
Scottsdale, AZ 85258
Phone (480) 614-2000

9060 E Via Linda
Scottsdale, AZ 85258
Phone (480) 551-8627

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

Interoperability endpoints

  • Direct secure messaging: lmdavignon@direct.anthc.org
  • FHIR API: https://api.platform.athenahealth.com/14591/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

Organizations & group practices 6

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1760583389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016051",
            "telephone_number": "541-328-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016051",
            "telephone_number": "541-328-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9060 E Via Linda Ste 250",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585425",
            "country_code": "US",
            "telephone_number": "480-614-2000",
            "fax_number": "480-614-1751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'AVIGNON",
        "first_name": "LOUIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "M3508",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD156691",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "M3508",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OR",
            "license": "MD156691",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "71944",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "71944",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "MD156691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01190239",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500648658",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211410",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldavignon4607@directmsg.bmctotalcare.com",
            "affiliation": "N",
            "address_1": "1501 NE Medical Center Dr",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.