Individual provider Active NPI

Daniel Aaron Hirselj, M.D.

  • Pediatric Urology Physician
  • Portland, OR
National Provider Identifier
1962603175
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
35-089730 Issued in OH
Practice address
2230 NW Pettygrove St
Suite #210
Portland, OR 97210-2659
Phone
(503) 223-6223
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 35-089730 OH Primary

Addresses

Primary practice location

2230 NW Pettygrove St
Suite #210
Portland, OR 97210-2659

Mailing address

32 NE Graham St
Portland, OR 97212-3001
Phone (503) 284-4018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20191010002318 WA Practitioner - Urology 6204989775 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-089730OHMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Urology, LLC CurrentSince Aug 11, 2019 Accepting new patients
Northwest Urological Clinic PC Past Accepting new patients

Locations

2055 NW Savier St
Ste 380
Portland, OR 97209

9135 SW Barnes Rd
Ste 663
Portland, OR 97225
Phone (503) 297-1078

2230 NW Pettygrove St
Ste 210
Portland, OR 97210

1000 SE Tech Center Dr
Ste 120
Vancouver, WA 98683
Phone (360) 260-2773

100 E 33rd St
Ste 206
Vancouver, WA 98663
Phone (360) 695-1334

Interoperability endpoints

  • Direct secure messaging: daniel.hirselj.1@11085.direct.athenahealth.com

Organizations & group practices 2

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1962603175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NE GRAHAM ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123001",
            "telephone_number": "503-284-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 NW PETTYGROVE ST",
            "address_2": "SUITE #210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102659",
            "telephone_number": "503-223-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSELJ",
        "first_name": "DANIEL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "OH",
            "license": "35-089730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.