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JONATHAN MICHAEL TATE MD
NPI 1164551172
Internal Medicine in Portland, OR

Active since March 05, 2007PECOS Enrolled
2801 N GANTENBEIN AVE, PORTLAND, OR 97227(503) 413-8407 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Michael Tate Md NPPES

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

JONATHAN MICHAEL TATE MD (NPI 1164551172) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (161824) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164551172
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONATHAN MICHAEL TATECredential: MD
Location Address2801 N GANTENBEIN AVEPortland, OR 97227-1623
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-8407
Phone(503) 413-8407
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateSeptember 23, 2014
✔ NPI 1164551172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · 161824
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2801 N GANTENBEIN AVE, Portland, OR 97227
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Michael Tate Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KARI MAGNUSSEN MS
Genetic Counselor, MS
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 403-4967
NORTHWEST PEDIATRIC CRITICAL CARE PC
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 413-2794
DR. JANICE FAYE OLSON M.D.
Pediatrics (Pediatric Hematology-Oncology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-9300
RADIOLOGY CONSULTANTS, INC
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 227-2400
KATHY SCHWEITZER CNP
Nurse Practitioner (Neonatal)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 413-2042
DR. JOEL NORMAN LAMPERT PSY.D., LPC, NCC
Psychologist
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-9300
DR. NATALIE JUSTINE TEDFORD MD
Pediatrics (Pediatric Emergency Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-6500
OMAR J BHUTTA MD
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Multnomah County (503) 276-6565

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 Jonathan Tate's NPI number?

The NPI number for Jonathan Tate is 1164551172. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Jonathan Tate located?

Jonathan Tate practices at 2801 N Gantenbein Ave, Portland, OR 97227. The listed phone number is (503) 413-8407.

What is Jonathan Tate's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jonathan Tate enrolled in Medicare?

Yes. Jonathan Tate is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Tate was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.