DR. TRACY RENEE EXLEY M.D
NPI 1033314794
Internal Medicine - Adolescent Medicine in San Jose, CA

Q: What is Tracy Exley's NPI number?

The NPI number for Tracy Exley is 1033314794. It was assigned to this individual provider in the NPPES registry on June 20, 2007. The provider is also known as Tracy Renee Powell.

Q: What is Tracy Exley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Exley was last updated on July 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 20, 2007PECOS Enrolled

840 GUADALUPE PKWY, SAN JOSE, CA 95110(408) 299-4841(408) 299-2511 Get Directions Write a Review

NPPES record last updated: July 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tracy Renee Exley M.d NPPES

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

DR. TRACY RENEE EXLEY M.D (NPI 1033314794) is an individual adolescent medicine provider in San Jose, California, licensed in California (A108233) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1033314794

Entity TypeIndividualFemale

Primary Taxonomy207RA0000X

Provider Legal NameDR. TRACY RENEE EXLEYCredential: M.D

Location Address840 GUADALUPE PKWYSan Jose, CA 95110

Mailing Address1132 Sw 13th AvePortland, OR 97205-1703 · (503) 535-3827

Phone(408) 299-4841

Fax(408) 299-2511

Sole ProprietorNo

Enumeration DateJune 20, 2007

Last NPPES UpdateJuly 1, 2018

✔ NPI 1033314794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0000X

License✔ Licensed in CA · A108233

Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedInternal MedicineTaxonomy 207R00000X · License A108233 (CA), MD173883 (OR)

Also ListedPediatricsTaxonomy 208000000X · License A108233 (CA), MD173883 (OR)

840 GUADALUPE PKWY, San Jose, CA 95110

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Other Names 1

Former Name (1)Tracy Renee Powell

Secondary Practice Location 1

Location 11132 SW 13th AvePortland, OR 97205-1703 · Phone (503) 535-3827

Other Identifiers 1

Medicaid181599OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracy Renee Exley M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH TORREZ

Counselor