Individual provider Active NPI

Thomas Andrew Deuel, M.D., PH.D.

  • Neurology Physician
  • Boston, MA
National Provider Identifier
1841496908
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD60223832 Issued in WA
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

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address tdeuel272874@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 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
I20110725000404 WA Practitioner - Neurology 7416125117 Reassigns benefits to 2 organizations
I20240717003311 OR Practitioner - Neurology 7416125117 Reassigns benefits to 1 organization

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
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

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 Hospital, Vancouver, WA, CCN 500150
  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1234567890MAMDCounselor
MED-PHYS-LIC-126990MTMDNeurology Physician
MD60223832WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Jun 5, 2024 Accepting new patients
Providence Health & Services- Washington CurrentSince Dec 1, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 5, 2024 Accepting new patients
Providence Health & Services - Washington CurrentSince Dec 1, 2021 Accepting new patients
Legacy Clinics LLC CurrentSince Jun 27, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 10

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": "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

Verify at the official NPI Registry.