INTEGRATED JOINT SPECIALISTS LLC – General Practice Physician, NPI 1942502794
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for INTEGRATED JOINT SPECIALISTS LLC
10250 SW GREENBURG RD STE 115
TIGARD, OR 972235461
Phone: (503) 719-6783
Fax: (971) 327-6734
Type: Mailing
10250 SW GREENBURG RD
4 LINCOLN CENTER, SUITE 125
TIGARD, OR 972235470
Phone: (503) 719-6783
Fax: (971) 327-6734
Type: Mailing
2141 E Broadway Rd Ste 111
Tempe, AZ 852821894
Phone: (503) 719-6783
Type: Location
1918 152nd Ave NE Ste 200
Bellevue, WA 980074880
Phone: (503) 719-6783
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: 2022-01-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (708 days ago).
Enrollment records
4
Earliest due date
2024-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110223000613 | O | Clinic/Group Practice | OR | TBD |
| O20110224000148 | O | Physician - General Practice | OR | 2024-06-30 |
| O20190409000228 | O | Clinic/Group Practice | WA | 2026-01-31 |
| O20220104000499 | O | Clinic/Group Practice | AZ | TBD |
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.
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 97223)
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