Active NPI
Hans Stern Moller III, M.D.
- Specialist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 14053
- Practice address
- 11782 SW Barnes Rd
Ste 300
Portland, OR 97225-5914 - Phone
- (503) 214-5200
- Fax
- (503) 906-6613
- NPI assigned
- Jul 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD14053 | OR | |
| Specialist | 174400000X | 14053 | OR | Primary |
Addresses
Primary practice location
11782 SW Barnes Rd
Ste 300
Portland, OR 97225-5914
Mailing address
11782 SW Barnes Rd
Ste 300
Portland, OR 97225-5914
Phone (503) 214-5200
Other practice location 1
727 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220921 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hmoller102250@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
- Orthopedic Surgery
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1003 N Providence Dr
Suite 325
Newberg, OR 97132-7521
Phone (503) 216-1661
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111
725 S Wahanna Rd
Seaside, OR 97138-7735
Phone (503) 717-7000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14053 | OR | MD | Specialist |
Practice roles
Locations
810 12th St
Hood River, OR 97031
Phone (541) 386-3911
1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202
727 S Wahanna Rd
Ste 100
Seaside, OR 97138
Phone (503) 717-7000
727 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
Interoperability endpoints
- hmoller102250@oc.providencedirect.org
Organizations & group practices 15
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
- Clinical Pathology Physician
- Hood River, OR
- NPI 1053862714
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
-
- Clinical Pathology Physician
- Newberg, OR
- NPI 1174074868
-
- Cardiovascular Disease Physician
- Newberg, OR
- NPI 1225378615
-
- Clinic/Center
- Astoria, OR
- NPI 1851657035
-
- Rural Health Clinic/Center
- Hood River, OR
- NPI 1073100095
-
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1831113133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11782 SW BARNES RD",
"address_2": "STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255914",
"telephone_number": "503-214-5200",
"fax_number": "503-906-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11782 SW BARNES RD",
"address_2": "STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255914",
"telephone_number": "503-214-5200",
"fax_number": "503-906-6613"
}
],
"practiceLocations": [
{
"address_1": "727 S Wahanna Rd",
"address_purpose": "LOCATION",
"city": "Seaside",
"state": "OR",
"postal_code": "971387735",
"country_code": "US",
"telephone_number": "503-717-7060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLLER",
"first_name": "HANS",
"middle_name": "STERN",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD14053",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "14053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220921",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hmoller102250@oc.providencedirect.org",
"affiliation": "N",
"address_1": "727 S Wahanna Rd",
"city": "Seaside",
"state": "OR",
"country_code": "US",
"postal_code": "971387735",
"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 Dec 14, 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.