Individual provider Active NPI

Frances A Derook, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Portland, OR
National Provider Identifier
1922098060
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
MD174272 Issued in OR
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

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address fderook1246114@oc.providencedirect.org

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
I20151023001133 OR Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 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 CareAlso: Internal Medicine
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 Oregon 18 clinicians
Providence Health and Services Oregon 1,423 clinicians

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 Hospital, Portland, OR, CCN 380061
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038
  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016461MEMDSpecialist
00029714WAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Hospice and Palliative Medicine CurrentSince Jun 1, 2020 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2020 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2020 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 27, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 27, 2020 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Jun 1, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Jun 1, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 15, 2015 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 15, 2015 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 15, 2015 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2020 Accepting new patients
Four Corners Heart Clinic Cardiovascular Disease Past Accepting new patients
Central Maine Medical Center Past Accepting new patients
Central Maine Medical Center Past Accepting new patients
Kaiser Foundation Health Plan of the Northwest Past Accepting new patients

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

  • FHIR API: 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.

View all 28

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": "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

Verify at the official NPI Registry.