Individual provider Active NPI

Ruchi J Wanchoo, MD

  • Neurology Physician
  • Tualatin, OR
National Provider Identifier
1992000228
Registry record updated Mar 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD190565 Issued in OR
Practice address
19260 SW 65TH Ave Ste 280
Tualatin, OR 97062
Phone
(503) 413-6166
Fax
(360) 487-4709
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD441681 PA
Neurology Physician 2084N0400X MD190565 OR Primary

Addresses

Primary practice location

19260 SW 65TH Ave Ste 280
Tualatin, OR 97062

Mailing address

PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900

Other practice location 1

420 E North Ave Ste 206
Pittsburgh, PA 15212-4746
Phone (412) 359-8850

Other practice location 2

420 E North Ave Ste 206
Pittsburgh, PA 15212-4746
Phone (412) 359-8850

Other identifiers 1

IdentifierTypeStateIssuer
102546680MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OR2 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
I20110323000638 PA Practitioner - NeurologyPractitioner - Neurosurgery 7810170164 Reassigns benefits to 2 organizations
I20190401001533 OR Practitioner - Neurology 7810170164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group Current Accepting new patients
Reading Hospital Current Accepting new patients
Reading Hospital CurrentSince Feb 1, 2011 Accepting new patients
Legacy Clinics LLC CurrentSince Jan 23, 2019 Accepting new patients
Tower Health Medical Group CurrentSince Feb 1, 2011 Accepting new patients
Reading Hospital CurrentSince Feb 1, 2011 Accepting new patients
Legacy Clinics LLC CurrentSince Jan 23, 2019 Accepting new patients
Tower Health Medical Group CurrentSince Feb 1, 2011 Accepting new patients

Locations

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

19260 SW 65th Ave
Ste 280
Tualatin, OR 97062
Phone (503) 413-6166

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 8

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553299200000",
    "number": "1992000228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777",
            "telephone_number": "503-413-3900",
            "fax_number": "503-413-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 SW 65TH AVE STE 280",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "97062",
            "telephone_number": "503-413-6166",
            "fax_number": "360-487-4709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E North Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124746",
            "country_code": "US",
            "telephone_number": "412-359-8850",
            "fax_number": "412-359-8878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 E North Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124746",
            "country_code": "US",
            "telephone_number": "412-359-8850",
            "fax_number": "412-359-8878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANCHOO",
        "first_name": "RUCHI",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2019-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD441681",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD190565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102546680",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.