NPIMap

Individual provider Active NPI

Jessica Weinstein Weiss, MD

  • Nephrology Physician
  • Portland, OR
National Provider Identifier
1770519902
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD26875 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Oregon Health Sciences University
Portland, OR 97239
Phone
(503) 494-8490
Fax
(503) 494-5330
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00046446 WA
Nephrology Physician 207RN0300X MD26875 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Oregon Health Sciences University
Portland, OR 97239

Mailing address

3181 SW Sam Jackson Park Rd
Mailcode Pp262
Portland, OR 97239-3011
Phone (503) 494-8490

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidWA

Other names 1

  • Jessica Robin Weinstein Former 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
I20100804000082 OR Practitioner - Nephrology 4880697952 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Southern Illinois University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

1151 May St
FL 3
Hood River, OR 97031-1526
Phone (541) 387-6377

1501 NE Medical Ctr Dr
Bend, OR 97701-6051
Phone (541) 317-4354

15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone (503) 494-3442

2737 NE Martin Luther King Blvd
Portland, OR 97212-3037
Phone (503) 282-1253

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111

411 Lone Pine Blvd
The Dalles, OR 97058-9498
Phone (541) 298-1007

9932 NE Halsey St
Portland, OR 97220-4495
Phone (503) 253-8170

Hospital & facility affiliations

  • PNRS Columbia River the Dalles Dialysis facility, The Dalles, OR, CCN 382564
  • Ray Yasui Dialysis Center Dialysis facility, Hood River, OR, CCN 382310
  • DaVita Portland MLK Dialysis Dialysis facility, Portland, OR, CCN 382572
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Hillsboro Medical Center Hospital, Hillsboro, OR, CCN 380021
  • Adventist Health Portland Hospital, Portland, OR, CCN 380060
  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26875ORMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince Feb 1, 2015 Accepting new patients
University Professional Services CurrentSince May 19, 2010 Accepting new patients
University Professional Services CurrentSince May 19, 2010 Accepting new patients
Mid-Columbia Medical Center CurrentSince Feb 1, 2015 Accepting new patients
University Professional Services Current Accepting new patients
University Professional Services Past Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Locations

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

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

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

3181 SW Sam Jackson Park Rd
#262
Portland, OR 97239
Phone (503) 494-8490

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

Interoperability endpoints

  • Direct secure messaging: jweissmd23075@direct.ohsu.edu

Organizations & group practices 9

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1770519902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "MAILCODE PP262",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "OREGON HEALTH SCIENCES UNIVERSITY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-494-8490",
            "fax_number": "503-494-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JESSICA",
        "middle_name": "WEINSTEIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00046446",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD26875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WEINSTEIN",
            "middle_name": "ROBIN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.