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UMPQUA MEDICAL PC
NPI 1003982281
Internal Medicine - Hematology & Oncology in Roseburg, OR

Active since November 28, 2006CLIA 38D0933088 · Certificate of Compliance
2880 NW STEWART PKWY, SUITE 200, ROSEBURG, OR 97471(541) 673-0496(541) 673-5794 Get Directions Write a Review

NPPES record last updated: July 16, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Umpqua Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UMPQUA MEDICAL PC (NPI 1003982281) is a healthcare organization registered as a hematology & oncology in Roseburg, Oregon and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 11, 2028 and lists Edward J Ottenheimer, President, as its authorized official.

NPPES Registry Identity

NPI1003982281
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameUMPQUA MEDICAL PC
Location Address2880 NW STEWART PKWY, SUITE 200Roseburg, OR 97471-1201
Mailing Address2880 Nw Stewart Pkwy, Suite 200Roseburg, OR 97471-1201 · (541) 673-0496 · Fax (541) 673-5794
Phone(541) 673-0496
Fax(541) 673-5794
Organization SubpartNo
Authorized OfficialEdward J OttenheimerPresident · (541) 673-0496
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 16, 2009
✔ NPI 1003982281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2880 NW STEWART PKWY, Roseburg, OR 97471
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Other Identifiers 1

Medicare ID-Type Unspecified100807OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Umpqua Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Umpqua Medical PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Edward Ottenheimer, MD
Hematology/Oncology
NPI 1881787547
1813 W HARVARD AVE STE 436
Roseburg, OR 97471
(541) 673-0496
✔ PECOS✔ Accepts Medicare1.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 38D0933088

Umpqua Medical PC · Roseburg, OR
Active · expires Jan 11, 2028
CLIA Number38D0933088
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorEdward J. Ottenheimer III MD
Laboratory Phone(541) 673-0496
Laboratory LocationUmpqua Medical PC1813 W Harvard Ave Suite 436, Roseburg, OR 97471
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Umpqua Medical PC's NPI number?

The NPI number for Umpqua Medical PC is 1003982281. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Umpqua Medical PC located?

Umpqua Medical PC is located at 2880 NW Stewart Pkwy Suite 200, Roseburg, OR 97471. The listed phone number is (541) 673-0496.

What is Umpqua Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Umpqua Medical PC enrolled in Medicare?

Yes. Umpqua Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Umpqua Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hematology/Oncology) reassigns their Medicare billing to Umpqua Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Umpqua Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 38D0933088) is associated with this NPI, valid through January 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Umpqua Medical PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Umpqua Medical PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Umpqua Medical PC was last updated on July 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.