Individual provider Active NPI

Andre Barkhuizen, M.D.

  • Rheumatology Physician
  • Portland, OR
National Provider Identifier
1982639480
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD20458 Issued in OR
Practice address
2701 NW Vaughn St Ste 350
Portland, OR 97210-5354
Phone
(503) 972-9823
NPI assigned
Jul 12, 2006
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD20458 OR Primary

Addresses

Primary practice location

2701 NW Vaughn St Ste 350
Portland, OR 97210-5354

Mailing address

2701 NW Vaughn St Ste 350
Portland, OR 97210-5354
Phone (503) 972-9823

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
I20060303000085 OR Practitioner - RheumatologyPractitioner - Internal Medicine 2668488453 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Rheumatology Clinic LLC Rheumatology CurrentSince May 1, 2007 Accepting new patients
Meeting Point Acupuncture & Herbal Clinic PastSince May 1, 2007 Accepting new patients

Locations

10230 SW Capitol Hwy
Portland, OR 97219
Phone (503) 244-3162

6640 SW Redwood Ln
Ste 301
Portland, OR 97224
Phone (503) 256-2627

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1982639480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 NW VAUGHN ST STE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105354",
            "telephone_number": "503-972-9823",
            "fax_number": "503-244-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NW VAUGHN ST STE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105354",
            "telephone_number": "503-972-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKHUIZEN",
        "first_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OR",
            "license": "MD20458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.