Individual provider Active NPI

Danylle Oldis Kappler, M.D.

  • Obstetrics & Gynecology Physician
  • Portland, OR
National Provider Identifier
1881984995
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD162773 Issued in OR
Practice address
2705 E Burnside St
Suite 114
Portland, OR 97214-1763
Phone
(503) 215-6262
NPI assigned
Apr 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A113816 CA
Obstetrics & Gynecology Physician 207V00000X MD162773 OR Primary

Addresses

Primary practice location

2705 E Burnside St
Suite 114
Portland, OR 97214-1763

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other names 1

  • Danylle Lynn Oldis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkappler353342@oc.providencedirect.org

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
I20130913000241 OR Practitioner - Obstetrics/Gynecology 4183868128 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oregon Health Sciences University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

545 NE 47TH Ave
Suite 102
Portland, OR 97213-2237
Phone (503) 215-6262

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113816CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Obstetrics & Gynecology Current Accepting new patients
Providence Health & Services - Oregon Obstetrics & Gynecology CurrentSince Dec 9, 2016 Accepting new patients
Providence Health & Services Oregon CurrentSince Dec 9, 2016 Accepting new patients
Providence Health & Services Oregon CurrentSince Dec 9, 2016 Accepting new patients
Providence Health & Services - Oregon Obstetrics & Gynecology CurrentSince Dec 19, 2016 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Dec 9, 2016 Accepting new patients
Providence Health & Services Oregon CurrentSince Dec 19, 2016 Accepting new patients
Providence Medical Group, PC Past Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients

Locations

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

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

545 NE 47th Ave
Ste 102
Portland, OR 97213
Phone (503) 215-6262

2705 E Burnside St
Ste 114
Portland, OR 97214
Phone (503) 215-6262

4400 NE Halsey St
Bldg 1
Portland, OR 97213
Phone (503) 215-6262

9135 SW Barnes Rd
Ste 761
Portland, OR 97225
Phone (503) 216-2602

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

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1881984995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E BURNSIDE ST",
            "address_2": "SUITE 114",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141763",
            "telephone_number": "503-215-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPLER",
        "first_name": "DANYLLE",
        "middle_name": "OLDIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-10",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A113816",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD162773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkappler353342@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "545 NE 47th Ave Ste 102",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972132237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANYLLE",
            "last_name": "OLDIS",
            "middle_name": "LYNN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.