NPIMap

Individual provider Active NPI

James V Hazard, MD, MBA

  • Specialist
  • Portland, OR
National Provider Identifier
1972573228
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20242 Issued in OR
Practice address
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone
(503) 216-4830
Fax
(503) 216-4850
NPI assigned
Jan 26, 2006
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20242 OR Primary

Addresses

Primary practice location

9205 SW Barnes Rd
Portland, OR 97225-6603

Mailing address

9400 SW Barnes Rd
Suite 307
Portland, OR 97225-6608
Phone (503) 292-9108

Other identifiers 1

IdentifierTypeStateIssuer
164933MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhazard113155@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713001185 OR Practitioner - Diagnostic Radiology 9436137544 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Un of California, Irvine, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Medical Imaging LLCGroup PAC ID 9335191543, 28 clinicians
Bridgeport Medical Imaging, LLCGroup PAC ID 3173670411, 28 clinicians
TRG, LLCGroup PAC ID 8820283617, 35 clinicians

Practice addresses (Care Compare)

10810 NE Cornell Rd
Suite 100
Hillsboro, OR 97124-9219
Phone (503) 216-8400

18040 Swlower Boones Ferry Rd
Suite 106
Tigard, OR 97224-7259
Phone (503) 216-8400

4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-6079

7305 SE Circuit Dr
Suite 170
Hillsboro, OR 97123-1915
Phone (503) 216-8400

9205 SW Barnes Rd
Portland, OR 97225-6603

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
45.93 of 100Reported as group
Quality
36.39
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
100
Improvement activities
40
Cost
85.93

Merit-based Incentive Payment System (MIPS)

Final score
45.94 of 100Reported as group
Quality
36.41
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20242ORMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Medical Imaging LLC Specialist CurrentSince Jul 9, 2005 Accepting new patients
TRG, LLC CurrentSince Jul 1, 2006 Accepting new patients
Bridgeport Medical Imaging, LLC CurrentSince Feb 23, 2009 Accepting new patients
Medical Imaging Group, LLC Past Accepting new patients
Tanasbourne Radiology Specialist Past Accepting new patients
The Radiology Group PC Specialist Past Accepting new patients

Locations

10810 NE Cornell Rd
Ste 100
Hillsboro, OR 97124
Phone (503) 216-4399

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

11782 SW Barnes Rd
Portland, OR 97225
Phone (503) 214-5200

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

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

16770 SW Edy Rd
Sherwood, OR 97140
Phone (503) 216-9600

12442 SW Scholls Ferry Rd
Tigard, OR 97223
Phone (503) 216-9200

18040 SW Lower Boones Ferry Rd
Ste 106
Tigard, OR 97224
Phone (503) 216-8400

Organizations & group practices 7

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 6

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1972573228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 SW BARNES RD",
            "address_2": "SUITE 307",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256608",
            "telephone_number": "503-292-9108",
            "fax_number": "503-292-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 SW BARNES RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256603",
            "telephone_number": "503-216-4830",
            "fax_number": "503-216-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZARD",
        "first_name": "JAMES",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "20242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164933",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhazard113155@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9205 SW Barnes Rd",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.