Individual provider Active NPI

Andrea Olsen D'Ostroph, M.D.

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1780782193
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD23062 Issued in OR
Practice address
200 SW Market St
Suite L-120
Portland, OR 97201-5715
Phone
(503) 223-8147
Fax
(503) 226-2370
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD23062 OR Primary

Addresses

Primary practice location

200 SW Market St
Suite L-120
Portland, OR 97201-5715

Mailing address

200 SW Market St
Suite L-120
Portland, OR 97201-5715
Phone (503) 223-8147

Other identifiers 1

IdentifierTypeStateIssuer
287180MedicaidOR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101101001351 OR Practitioner - Ophthalmology 2466646625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oregon Health Sciences University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Group Associates, PCGroup PAC ID 4981676012, 2 clinicians

Practice addresses (Care Compare)

200 SW Market St
Suite L120
Portland, OR 97201-5717
Phone (503) 223-8147

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.36 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD23062ORMDOphthalmology Physician

Organizations & group practices 1

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 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1780782193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW MARKET ST",
            "address_2": "SUITE L-120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015715",
            "telephone_number": "503-223-8147",
            "fax_number": "503-226-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW MARKET ST",
            "address_2": "SUITE L-120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015715",
            "telephone_number": "503-223-8147",
            "fax_number": "503-226-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'OSTROPH",
        "first_name": "ANDREA",
        "middle_name": "OLSEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD23062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287180",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.