Individual provider Active NPI

Robert J Hillstrom, D.O.

  • Emergency Medicine Physician
  • Dallas, OR
National Provider Identifier
1811057862
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO29090 Issued in OR
Practice address
525 SE Washington St
Dallas, OR 97338-2834
Phone
(503) 623-8301
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO29090 OR Primary

Addresses

Primary practice location

525 SE Washington St
Dallas, OR 97338-2834

Mailing address

20545 S Monpano Overlook Dr
Oregon City, OR 97045-7343
Phone (503) 342-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090527000610 OR Practitioner - Emergency Medicine 9133129042 Reassigns benefits to 2 organizations
I20200409003815 WA Practitioner - Emergency Medicine 9133129042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.85 of 100Reported as group
Quality
84.92
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.83
Promoting interoperability
100
Improvement activities
40
Cost
82.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO29090ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Feb 1, 2015 Accepting new patients
Northwest Acute Care Specialists PC Emergency Medicine CurrentSince Oct 19, 2017 Accepting new patients
Northwest Acute Care Specialists PC Emergency Medicine CurrentSince Oct 19, 2017 Accepting new patients
Silverton Health Past Accepting new patients

Locations

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1811057862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20545 S MONPANO OVERLOOK DR",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970457343",
            "telephone_number": "503-342-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SE WASHINGTON ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382834",
            "telephone_number": "503-623-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLSTROM",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "DO29090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, OR

Sources for this page

Verify at the official NPI Registry.