Active NPI
Walter Paul Goebel, MD
- Family Medicine Physician
- Tigard, OR
National Provider Identifier
1831400126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD164204
- Practice address
- 13200 SW Pacific Hwy
Tigard, OR 97223 - Phone
- (503) 598-2000
- Fax
- (503) 639-0920
- NPI assigned
- Jul 1, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ML60154176 | WA | |
| Family Medicine Physician | 207Q00000X | MD164204 | OR | Primary |
Addresses
Primary practice location
13200 SW Pacific Hwy
Tigard, OR 97223
Mailing address
PO Box 670
Bend, OR 97709-0670
Phone (503) 598-2000
Other practice location 1
100 E 33rd St
Suite 100
Vancouver, WA 98663-2776
Phone (360) 514-7550
Other practice location 2
100 E 33rd St
Suite 100
Vancouver, WA 98663-2776
Phone (360) 514-7550
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
- Family Practice
- Education
- University of Texas Medical School at Houston, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13200 SW Pacific Hwy
Tigard, OR 97223-4828
Phone (503) 598-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML60154176 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Praxis Health, PC | Current | Accepting new patients | |
| Praxis Health, PC | Family Medicine | Current | Accepting new patients |
| Rose City House Calls LLC | Family Medicine | Current | Accepting new patients |
Locations
4510 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 644-1171
1001 Molalla Ave
Ste 100
Oregon City, OR 97045
Phone (503) 656-5273
13200 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 598-2000
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61288
- wgoebel@pacificmedicalgroup.directbygreenway.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Portland, OR
- NPI 1992593487
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
dba Providence St Vincent Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1831400126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670",
"city": "BEND",
"state": "OR",
"postal_code": "977090670",
"telephone_number": "503-598-2000",
"fax_number": "503-639-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13200 SW PACIFIC HWY",
"city": "TIGARD",
"state": "OR",
"postal_code": "97223",
"telephone_number": "503-598-2000",
"fax_number": "503-639-0920"
}
],
"practiceLocations": [
{
"address_1": "100 E 33rd St",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986632776",
"country_code": "US",
"telephone_number": "360-514-7550",
"fax_number": "360-514-7553",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E 33rd St",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986632776",
"country_code": "US",
"telephone_number": "360-514-7550",
"fax_number": "360-514-7553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOEBEL",
"first_name": "WALTER",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-01",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "ML60154176",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD164204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.