Active NPI
Frances A Derook, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- MD174272
- Practice address
- 6410 NE Halsey St Ste 600
Portland, OR 97213-4742 - Phone
- (503) 215-2669
- NPI assigned
- Oct 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD00029714 | WA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 00029714 | WA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | MD174272 | OR | Primary |
Addresses
Primary practice location
6410 NE Halsey St Ste 600
Portland, OR 97213-4742
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
325 9th Ave
Harborview Medical Center Palliative Medicine
Seattle, WA 98104-2420
Phone (206) 744-9102
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fderook1246114@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151023001133 | OR | Practitioner - Hospice/Palliative Care | 2668453929 | Reassigns benefits to 6 organizations |
| I20151104001544 | WA | Practitioner - Internal Medicine | 2668453929 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- University of Cincinnati College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health and Services OregonProvidence Health and Services Oregon
Practice addresses (Care Compare)
1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-6274
1500 Division St
RM 1005
Oregon City, OR 97045-1527
Phone (503) 215-2669
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-2669
9427 SW Barnes Rd
Suite 495
Portland, OR 97225-6612
Phone (503) 297-6234
Hospital & facility affiliations
- Providence Portland Medical Center
- Providence Willamette Falls Medical Center
- Providence Milwaukie Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016461 | ME | MD | Specialist |
| 00029714 | WA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
9427 SW Barnes Rd
Ste 495
Portland, OR 97225
Phone (503) 216-0900
1235 NE 47th Ave
Ste 148
Portland, OR 97213
Phone (503) 215-4601
6410 NE Halsey St
Ste 600
Portland, OR 97213
Phone (503) 215-2669
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
2701 NW Vaughn St
Ste 160
Portland, OR 97210
Phone (503) 499-5200
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Ofc
Vancouver, WA 98682
Phone (360) 944-2700
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 28
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Portland, OR
- NPI 1043366172
Hospice and Palliative Medicine, OR
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
OR, WA
-
- Home Infusion Therapy Pharmacy
- Portland, OR
- NPI 1427132265
-
- Clinic/Center
- Portland, OR
- NPI 1003319724
-
- Internal Medicine Physician
- Portland, OR
- NPI 1164623401
-
- Community Based Hospice Care Agency
- Portland, OR
- NPI 1205924313
-
- Home Health Agency
- Medford, OR
- NPI 1487746491
-
- Prosthetic/Orthotic Supplier
- Portland, OR
- NPI 1710152798
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
Hospital
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
Hospital
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1922098060",
"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",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 NE HALSEY ST STE 600",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972134742",
"telephone_number": "503-215-2669"
}
],
"practiceLocations": [
{
"address_1": "325 9th Ave",
"address_2": "Harborview Medical Center Palliative Medicine",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981042420",
"country_code": "US",
"telephone_number": "206-744-9102",
"fax_number": "206-744-9976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEROOK",
"first_name": "FRANCES",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-27",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00029714",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "WA",
"license": "00029714",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "OR",
"license": "MD174272",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fderook1246114@oc.providencedirect.org",
"affiliation": "N",
"address_1": "6410 NE Halsey St Ste 600",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972134742",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.