Active NPI
Robert Tatsumi, MD
- Orthopaedic Surgery of the Spine Physician
- Tualatin, OR
National Provider Identifier
1992828800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- MD26166
- Practice address
- 19255 SW 65TH Ave Ste 220
Tualatin, OR 97062-9717 - Phone
- (503) 828-1150
- Fax
- (503) 828-1160
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | MD26166 | OR | Primary |
Addresses
Primary practice location
19255 SW 65TH Ave Ste 220
Tualatin, OR 97062-9717
Mailing address
19255 SW 65TH Ave
Suite 200
Tualatin, OR 97062-7451
Phone (503) 828-1150
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080731000759 | OR | Practitioner - Orthopedic Surgery | 4688772114 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Robert L Tatsumi MD PC
Practice addresses (Care Compare)
19255 SW 65TH Ave
Suite 220
Tualatin, OR 97062-9717
Phone (503) 828-1150
Hospital & facility affiliations
- Legacy Meridian Park Medical Center
- Providence Willamette Falls Medical Center
- Providence St Vincent Medical Center
- Legacy Silverton Medical Center
- Providence Newberg Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 185 |
| Laminectomy or laminotomy (partial removal of spine bones) | 79 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26166 | OR | MD | Orthopaedic Surgery of the Spine Physician |
Interoperability endpoints
- rtatsumi@1621.securemail.prognocis.com
Organizations & group practices 1
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.
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
Hospital
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
Hospital
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1992828800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19255 SW 65TH AVE",
"address_2": "SUITE 200",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627451",
"telephone_number": "503-828-1150",
"fax_number": "503-828-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19255 SW 65TH AVE STE 220",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629717",
"telephone_number": "503-828-1150",
"fax_number": "503-828-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATSUMI",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "OR",
"license": "MD26166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.