CAROLYN A SITES (DO) – Internal Medicine Physician, NPI 1790718310

CAROLYN A SITES (DO) is a healthcare provider. based in Portland, Oregon. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. DO20605 (OR). The NPI Number for CAROLYN A SITES (DO) is 1790718310

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN A SITES (DO)
NPI
1790718310
Phone
(503) 215-2392
Address
4805 NE Glisan St
Enumeration Date
8 July 2006
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
5035131900
Graduation Year
1996 (30 years ago)
PAC ID
6103843297
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20051027001077
Address ID
OR970451527OR1500XSTXX302

Contacts

Secure Messaging
csites100740@oc.providencedirect.org
Secure Messaging
csites238476@samhealth.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:19State licenses:1Other names

645 HOSPITALIST in OR

Provider Addresses for CAROLYN A SITES (DO)

  • 4805 NE Glisan St

    Suite BG05

    Portland, OR 972132933

    Phone: (503) 215-2392

    Type: Location

  • PO BOX 31001-4180

    PASADENA, CA 911104180

    Phone: (503) 215-6494

    Type: Mailing

  • 10150 SE 32ND AVE

    MILWAUKIE, OR 972226516

    Phone: (503) 513-8641

    Type: Location

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Fax: (503) 215-6644

    Type: Mailing

  • Providence Portland Medical Center, 4805, Northeast Glisan Street, North Tabor, Portland, Metro, Multnomah County, Oregon, 97213, United States

    SUITE BG05

    PORTLAND, OR 972132933

    Phone: (503) 215-2392

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051027001077IHospitalistORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4322$0
99239Hospital discharge day management, more than 30 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 97213)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

How is CAROLYN A SITES (DO) identified in CMS data?
CMS-hosted NPPES data lists CAROLYN A SITES (DO) with NPI 1790718310.
Is CAROLYN A SITES (DO) still practicing?
CAROLYN A SITES (DO) is currently listed as active in the public NPI registry.
What is CAROLYN A SITES (DO)'s primary classification?
Internal Medicine Physician is the headline specialty for CAROLYN A SITES (DO) here. Clinical services aligned with this taxonomy classification.
Where should I expect CAROLYN A SITES (DO) on a map?
Expect Portland, Oregon as a primary anchor for CAROLYN A SITES (DO) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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