Individual provider Active NPI

Stephen Bernard Fritz, MD

  • Allergy & Immunology Physician
  • Happy Valley, OR
National Provider Identifier
1881799963
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD165493 Issued in OR
Practice address
9200 SE 91St Ave Ste 220
Happy Valley, OR 97086-3756
Phone
(971) 358-5600
Fax
(971) 358-5601
NPI assigned
Sep 14, 2006
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD165493 OR Primary

Addresses

Primary practice location

9200 SE 91St Ave Ste 220
Happy Valley, OR 97086-3756

Mailing address

9200 SE 91St Ave Ste 220
Happy Valley, OR 97086-3756
Phone (971) 358-5600

Other practice location 1

831 NW Council Dr Ste B212
Gresham, OR 97030-3721
Phone (971) 358-5800

Other identifiers 1

IdentifierTypeStateIssuer
500671134MedicaidOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708000832 OR Practitioner - Allergy/Immunology 5597665406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Saint Louis University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PDX Allergy LLCGroup PAC ID 8224458062, 3 clinicians

Practice addresses (Care Compare)

2150 NE Division St
Suite 202
Gresham, OR 97030-5859
Phone (971) 358-5800

8740 SE Sunnybrook Blvd
Suite 300
Clackamas, OR 97015-5737
Phone (971) 358-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD165493ORMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PDX Allergy LLC Allergy & Immunology CurrentSince Sep 1, 2020 Accepting new patients
Montana Allergy and Asthma Spec Allergy & Immunology PastSince Jul 1, 2003 Accepting new patients
Sunrise Corporate Services, LLC PastSince Oct 9, 2017 Accepting new patients
David E Bilstrom MD, PC PastSince Jun 1, 2015 Accepting new patients

Locations

8740 SE Sunnybrook Blvd
Ste 300
Clackamas, OR 97015
Phone (971) 220-2201

2150 NE Division St
Ste 202
Gresham, OR 97030
Phone (503) 667-4545

9200 SE 91st Ave
Ste 220
Portland, OR 97086
Phone (503) 239-7030

9370 SW Greenburg Rd
Ste 311
Tigard, OR 97223
Phone (503) 245-8060

Interoperability endpoints

  • Direct secure messaging: stephen.fritz@pdx.ssdirect.aprima.com

Organizations & group practices 4

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 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1881799963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE STE 220",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "971-358-5600",
            "fax_number": "971-358-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE STE 220",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "971-358-5600",
            "fax_number": "971-358-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 NW Council Dr Ste B212",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303721",
            "country_code": "US",
            "telephone_number": "971-358-5800",
            "fax_number": "971-358-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "STEPHEN",
        "middle_name": "BERNARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-10-16",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OR",
            "license": "MD165493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500671134",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

Verify at the official NPI Registry.