Active NPI
Stephen Oscar Bookin, MD
- Endocrinology, Diabetes & Metabolism Physician
- Portland, OR
National Provider Identifier
1801944301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD08429
- Practice address
- 9135 SW Barnes Rd
Suite 985
Portland, OR 97225-6601 - Phone
- (503) 297-3336
- Fax
- (503) 297-3338
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD08429 | OR | Primary |
Addresses
Primary practice location
9135 SW Barnes Rd
Suite 985
Portland, OR 97225-6601
Mailing address
1130 NW 22ND Ave
Suite 400
Portland, OR 97210
Phone (503) 274-4884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168245 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD08429 | OR | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Diabetes & Endocrinology | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
9135 SW Barnes Rd
Ste 985
Portland, OR 97225
Phone (503) 297-3336
1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73586
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Portland, OR
- NPI 1942419569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1801944301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 NW 22ND AVE",
"address_2": "SUITE 400",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97210",
"telephone_number": "503-274-4884",
"fax_number": "503-274-4897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD",
"address_2": "SUITE 985",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256601",
"telephone_number": "503-297-3336",
"fax_number": "503-297-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKIN",
"first_name": "STEPHEN",
"middle_name": "OSCAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OR",
"license": "MD08429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168245",
"state": "OR"
}
],
"endpoints": [],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.