Active NPI
Thomas Andrew Deuel, M.D., PH.D.
- Neurology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD60223832
- Practice address
- 55 Fruit St
Vbk915
Boston, MA 02114-2621 - Phone
- (617) 726-1067
- Fax
- (617) 726-2353
- NPI assigned
- Jun 26, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MED-PHYS-LIC-126990 | MT | |
| Neurology Physician | 2084N0400X | 1234567890 | MA | |
| Neurology Physician | 2084N0400X | MD60223832 | WA | Primary |
Addresses
Primary practice location
55 Fruit St
Vbk915
Boston, MA 02114-2621
Mailing address
16 Claremont Park
Apartment 3
Boston, MA 02118-3031
Phone (617) 953-7961
Other practice location 1
550 17th Ave Ste 400
Seattle, WA 98122-5789
Phone (206) 320-3278
Other practice location 2
601 W Spruce St Ste J
Missoula, MT 59802-4047
Phone (406) 327-3350
Other practice location 3
2121 NE 139th St Ste 2121Ne
Vancouver, WA 98686-2301
Phone (360) 487-4707
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tdeuel272874@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Harvard Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1040 NW 22ND Ave
Suite 420
Portland, OR 97210-3062
Phone (503) 413-6166
2121 NE 139TH St
Suite 205
Vancouver, WA 98686-2316
Phone (503) 413-4488
Hospital & facility affiliations
- Legacy Salmon Creek Medical Center
- Legacy Emanuel Medical Center
- Legacy Meridian Park Medical Center
- Legacy Good Samaritan Medical Center
- Legacy Mount Hood Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1234567890 | MA | MD | Counselor |
| MED-PHYS-LIC-126990 | MT | MD | Neurology Physician |
| MD60223832 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Massachusetts General Hospital | Neurology | Past | Accepting new patients |
Locations
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1040 NW 22nd Ave
Ste 420
Portland, OR 97210
Phone (503) 229-7566
19260 SW 65th Ave
Ste 280
Tualatin, OR 97062
Phone (503) 413-6166
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
550 17th Ave
Ste 400
Seattle, WA 98122
Phone (206) 320-3278
2121 NE 139th St
Vancouver, WA 98686
Phone (360) 487-1777
2121 NE 139th St
Ste 205
Vancouver, WA 98686
Phone (360) 487-4707
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Interoperability endpoints
- tdeuel272874@wm.providencedirect.org
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- Family Medicine Physician
- Monroe, WA
- NPI 1225289333
-
- Neurology Physician
- Boston, MA
- NPI 1558586172
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1841496908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CLAREMONT PARK",
"address_2": "APARTMENT 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183031",
"telephone_number": "617-953-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "VBK915",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-726-1067",
"fax_number": "617-726-2353"
}
],
"practiceLocations": [
{
"address_1": "550 17th Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981225789",
"country_code": "US",
"telephone_number": "206-320-3278",
"fax_number": "206-386-3882",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 W Spruce St Ste J",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024047",
"country_code": "US",
"telephone_number": "406-327-3350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2121 NE 139th St Ste 2121Ne",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986862301",
"country_code": "US",
"telephone_number": "360-487-4707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEUEL",
"first_name": "THOMAS",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MT",
"license": "MED-PHYS-LIC-126990",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "1234567890",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD60223832",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tdeuel272874@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "550 17th Ave Ste 400",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981225789",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.