Bert G Tavelli (NPI# 1013918978, PAC ID# 1759325418) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1013918978 |
| PAC ID by PECOS | 1759325418 |
| Professional Enrollment ID | I20050615000046 |
| Full Name | Bert G Tavelli |
| Address |
1130 Nw 22nd Ave Suite 330 Portland OR 97210-2970 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380009 | OHSU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1130 Nw 22nd Ave, Suite 330, Portland, OR 97210-2970 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 98% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 94% |
| Street Address |
1130 NW 22ND AVE SUITE 330 |
| City | PORTLAND |
| State | OR |
| Zip | 97210-2970 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kishoree J Patel | Internal Medicine | Legacy Clinics LLC | 1130 Nw 22nd Ave, Portland, OR 97210-2934 |
| Apurva Pandey | Hematology/oncology | University Professional Services | 1130 Nw 22nd Ave, Suite 150, Portland, OR 97210-2900 |
| Joy A Rothschild | Nurse Practitioner | Women's Healthcare Associates LLC | 1130 Nw 22nd Ave, Suite 520, Portland, OR 97210-2976 |
| Brandy Masters Carpenter | Nurse Practitioner | Legacy Good Samaritan Hospital and Medical Center | 1130 Nw 22nd Ave, Suite 120, Portland, OR 97210-2934 |
| Leslie M Steed | Nephrology | Northwest Renal Clinic Inc | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2993 |
| Mark W Sands | Internal Medicine | Legacy Clinics LLC | 1130 Nw 22nd Ave, Portland, OR 97210-2934 |
| Michelle D Degeest | Obstetrics/gynecology | Legacy Clinics LLC | 1130 Nw 22nd Ave, Portland, OR 97210-2934 |
| Mikeanne Minter | Internal Medicine | Legacy Clinics LLC | 1130 Nw 22nd Ave, Suite 220, Portland, OR 97210-2969 |
| Aura Theresa B De Olazo | Internal Medicine | Legacy Clinics LLC | 1130 Nw 22nd Ave, Portland, OR 97210-2934 |
| Lewis L Low | Critical Care (intensivists) | Legacy Clinics LLC | 1130 Nw 22nd Ave, Portland, OR 97210-2934 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Brown | Clinical Psychologist | 2134 Nw Aspen Ave, Portland, OR 97210-1217 | |
| Megan A Banker | Chiropractic | 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372 | |
| Gail F Ott | Chiropractic | Megan Banker Dc PC | 2232 Nw Pettygrove St, Suite 110, Portland, OR 97210-2372 |
| Carol Stimpson Christensen | Clinical Social Worker | 2520 Nw Upshur St, Portland, OR 97210-2550 | |
| Laurence W Christensen | Clinical Psychologist | 2520 Nw Upshur St, Portland, OR 97210-2550 | |
| Karen B Kelsall | Chiropractic | 1615 Nw23rd Ave, Suite 2, Portland, OR 97210-2563 | |
| Anthony U Weber | Chiropractic | Kelsall Chiropractic Clinic PC | 1615 Nw23rd Ave, Portland, OR 97210-2563 |
| Tony Farrenkopf | Psychologist, Clinical | 2256 Nw Pettygrove St, Portland, OR 97210-2608 | |
| Kimberly Michiko Nakayama | Qualified Audiologist | Northwest Ear Institute PC | 2230 Nw Pettygrove St, Suite 120, Portland, OR 97210-2659 |
| Jeffrey Christopher La Rochelle | Urology | Northwest Urology LLC | 2230 Nw Pettygrove, Suite 210, Portland, OR 97210-2659 |
| Find all physicians in zip 97210 | |||
| City | PORTLAND |
| Zip Code | 97210 |
| Specialty | DERMATOLOGY |
| City + Specialty | PORTLAND + DERMATOLOGY |
Please comment or provide details below to improve the information on Bert G Tavelli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.