Individual provider Active NPI

John Rabkin, M.D.

  • Transplant Surgery Physician
  • Portland, OR
National Provider Identifier
1811042179
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
G51241 Issued in CA
Practice address
2231 SW Montgomery Dr
Portland, OR 97201-2386
Phone
(415) 600-1010
Fax
(415) 600-1012
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X G51241 CA Primary
Surgery Physician 208600000X G51241 CA

Addresses

Primary practice location

2231 SW Montgomery Dr
Portland, OR 97201-2386

Mailing address

2231 SW Montgomery Dr
Portland, OR 97201-2386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090319000348 CA Practitioner - General Surgery 5991862955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Boston University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone (415) 600-0140

1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000

3838 California St
San Francisco, CA 94118-1506

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G51241CAMDTransplant Surgery Physician
51241CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
El Camino Hospital Past Accepting new patients
Oregon Health & Science University Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Pac Lap Inc Surgery Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

795 El Camino Real
#1112
Palo Alto, CA 94301

2340 Clay St
Ste 2
San Francisco, CA 94115

1100 Van Ness Ave
Fl 3
San Francisco, CA 94109
Phone (415) 600-3397

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

2340 Clay St
Fl 2
San Francisco, CA 94115
Phone (415) 600-3458

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

Interoperability endpoints

  • Direct secure messaging: jrabkin43609@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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 2

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1811042179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 SW MONTGOMERY DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972012386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 SW MONTGOMERY DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972012386",
            "telephone_number": "415-600-1010",
            "fax_number": "415-600-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABKIN",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "G51241",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G51241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.