Oregon Urology Alliance – Urology Physician, NPI 1437330180

Oregon Urology Alliance is a healthcare provider. based in Tualatin, Oregon. specializing in Urology Physician. The organization holds a License No. MD22270 (OR). The NPI Number for Oregon Urology Alliance is 1437330180

Main info

Organization
Name
Oregon Urology Alliance
NPI
1437330180
Phone
(503) 692-1200
Address
19260 SW 65TH AVE STE 310
Authorized Official
SHELLY BANTA OFFICE MANAGER
Enumeration Date
23 November 2007
Last Update Date
8 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Oregon Urology Alliance

  • Southwest 65th Avenue, Tualatin, Metro, Washington County, Oregon, 97062, United States

    TUALATIN, OR 970625710

    Phone: (503) 692-1200

    Fax: (503) 692-1220

    Mailing address matches the actual address.

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: 2008-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-03-31 (799 days ago).

Enrollment records

1

Earliest due date

2024-03-31

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
O20080129000785OClinic/Group PracticeOR2024-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97062)

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Reviews

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Frequently asked questions

Does Oregon Urology Alliance have a public NPI I can cite?
Public records show Oregon Urology Alliance under NPI 1437330180.
Should I treat Oregon Urology Alliance as an active provider?
Patients and plans typically see Oregon Urology Alliance as active in the national extract.
Which specialty label fits Oregon Urology Alliance?
NPPES ties Oregon Urology Alliance to Urology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Oregon Urology Alliance?
The directory associates Oregon Urology Alliance with Tualatin, Oregon. Check all listed addresses for suites or satellite offices.
Who maintains Oregon Urology Alliance's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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