Active NPI
Patricia Fogarty, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- MD166103
- Practice address
- 6350 NE Halsey St
Portland, OR 97213-4720 - Phone
- (503) 215-2669
- NPI assigned
- Jun 2, 2011
- Last updated
- Feb 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD166103 | OR | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD166103 | OR | Primary |
Addresses
Primary practice location
6350 NE Halsey St
Portland, OR 97213-4720
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other practice location 1
6410 NE Halsey St
Suite 300
Portland, OR 97213-4742
Phone (503) 215-4691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500667940 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pfogarty103944@oc.providencedirect.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-6274
1500 Division St
RM 1005
Oregon City, OR 97045-1527
Phone (503) 215-2669
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.09 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services-Oregon | Current | Accepting new patients |
Locations
10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202
1235 NE 47th Ave
Ste 148
Portland, OR 97213
Phone (503) 215-4601
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
6350 NE Halsey St
Portland, OR 97213
Phone (503) 215-0750
6410 NE Halsey St
Ste 300
Portland, OR 97213
Phone (503) 215-2273
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence Connections Medical Group
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Portland, OR
- NPI 1043366172
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
Internal Medicine
-
dba Providence Milwaukie Hospital
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
Internal Medicine
-
dba Providence Portland Medical Center
- Clinical Pathology Physician
- Portland, OR
- NPI 1740732650
Internal Medicine
-
dba Providence Portland Medical Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Psychiatric Hospital Unit
- Milwaukie, OR
- NPI 1659751360
-
dba Providence Elder At Home
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1811384423
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Medical Group
- Clinic/Center
- Portland, OR
- NPI 1326272741
Hospital
-
dba Providence Willamette Falls Medical Center
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
dba Providence Milwaukie Hospital
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1801180260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 NE HALSEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972134720",
"telephone_number": "503-215-2669"
}
],
"practiceLocations": [
{
"address_1": "6410 NE Halsey St",
"address_2": "SUITE 300",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972134742",
"country_code": "US",
"telephone_number": "503-215-4691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOGARTY",
"first_name": "PATRICIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD166103",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "OR",
"license": "MD166103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500667940",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pfogarty103944@oc.providencedirect.org",
"affiliation": "N",
"address_1": "6410 NE Halsey St Ste 300",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972134759",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.