Individual provider Active NPI

Michele Lynn Babicky, M.D.

  • Surgical Oncology Physician
  • Portland, OR
National Provider Identifier
1871742478
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
MD188635 Issued in OR
Practice address
5050 NE Hoyt St Ste 256
Portland, OR 97213-2982
Phone
(503) 239-7767
Fax
(503) 215-6897
NPI assigned
Sep 18, 2008
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD188635 OR
Surgical Oncology Physician 2086X0206X MD188635 OR Primary

Addresses

Primary practice location

5050 NE Hoyt St Ste 256
Portland, OR 97213-2982

Mailing address

1498 SE Tech Center PL Ste 240
Vancouver, WA 98683-5508
Phone (360) 597-1313

Other identifiers 2

IdentifierTypeStateIssuer
2103827MedicaidWA
500747217MedicaidOR

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
I20180726001003 OR Practitioner - Surgical OncologyPractitioner - General Surgery 6406103175 Reassigns benefits to 4 organizations
I20240603002428 WA Practitioner - Surgical Oncology 6406103175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Cancer Specialists PCGroup PAC ID 8426943838, 70 clinicians

Practice addresses (Care Compare)

12123 SW 69TH Ave
Tigard, OR 97223-8514
Phone (971) 708-7600

210 SE 136TH Ave
Vancouver, WA 98684-6930
Phone (360) 944-9889

265 N Broadway
Portland, OR 97227-1800
Phone (503) 280-1223

4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD188635ORMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 1, 2020 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2018 Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 1, 2018 Accepting new patients
Northwest Cancer Specialists PC CurrentSince Apr 24, 2024 Accepting new patients
Northwest Cancer Specialists, PC CurrentSince Apr 24, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 1, 2020 Accepting new patients
Northwest Cancer Specialists PC CurrentSince Apr 24, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2018 Accepting new patients

Locations

12535 SE 82nd Ave
Happy Valley, OR 97015
Phone (503) 915-9174

265 N Broadway
Portland, OR 97227
Phone (503) 280-1223

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

4805 NE Glisan St
Ste 11N
Portland, OR 97213
Phone (503) 215-1350

4805 NE Glisan St
Ste 6N60
Portland, OR 97213
Phone (503) 281-0561

5050 NE Hoyt St
Ste 256
Portland, OR 97213
Phone (503) 239-7767

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

847 NE 19th Ave
Ste 300
Portland, OR 97232

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

1498 SE Tech Center Pl
Ste 240
Vancouver, WA 98683
Phone (360) 597-1309

210 SE 136th Ave
Vancouver, WA 98684
Phone (360) 944-9889

Interoperability endpoints

  • Direct secure messaging: michele.babicky@compass.ikm.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1871742478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 240",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835508",
            "telephone_number": "360-597-1313",
            "fax_number": "360-597-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST STE 256",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132982",
            "telephone_number": "503-239-7767",
            "fax_number": "503-215-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABICKY",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD188635",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "OR",
            "license": "MD188635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103827",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500747217",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.