Individual provider Active NPI

Dawnrenee Cinocco, M.D.

  • Hospitalist Physician
  • Vancouver, WA
National Provider Identifier
1851596837
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD28325 Issued in OR
Practice address
2100 SE 187TH Ave
Vancouver, WA 98683-9740
Phone
(360) 882-0168
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD 28325 OR
Hospitalist Physician 208M00000X MD28325 OR Primary

Addresses

Primary practice location

2100 SE 187TH Ave
Vancouver, WA 98683-9740

Mailing address

2100 SE 187TH Ave
Vancouver, WA 98683-9740
Phone (360) 882-0168

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
I20100309000319 OR Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5597800094 Reassigns benefits to 4 organizations
I20161223000170 WA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5597800094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of Colorado School of Medicine, Denver, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

Practice addresses (Care Compare)

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

Hospital & facility affiliations

  • Legacy Salmon Creek Medical Center Hospital, Vancouver, WA, CCN 500150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 28325ORMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CRM Physicians, LLC CurrentSince Dec 15, 2016 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 7, 2021 Accepting new patients
Good Shepherd Health Care System CurrentSince Jun 7, 2019 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 15, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 22, 2017 Accepting new patients
Legacy Clinics LLC Hospitalist CurrentSince Sep 15, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 22, 2017 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 22, 2017 Accepting new patients
Legacy Salmon Creek Hospital Hospitalist CurrentSince Sep 7, 2021 Accepting new patients
1015 North Garrison, LLC Past Accepting new patients

Locations

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

405 NE 5th St
Gresham, OR 97030
Phone (503) 666-5600

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

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

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

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

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

12607 SE Mill Plain Blvd
Vancouver, WA 98684
Phone (360) 418-6001

Organizations & group practices 10

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 2

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1851596837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE 187TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839740",
            "telephone_number": "360-882-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE 187TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839740",
            "telephone_number": "360-882-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINOCCO",
        "first_name": "DAWNRENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OR",
            "license": "MD 28325",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD28325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.