SUSAN PATRICIA ANDUAGA BOCANEGRA MD
NPI 1316331259
Internal Medicine in Beaverton, OR

Q: What is Susan Anduaga Bocanegra's NPI number?

The NPI number for Susan Anduaga Bocanegra is 1316331259. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Q: What is Susan Anduaga Bocanegra's specialty?

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

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment

4855 SW WESTERN AVE, BEAVERTON, OR 97005(503) 643-7565(503) 626-4418 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2026, Aug 10, 2022, Aug 27, 2020 (3 updates tracked since 2020).

On this page

About Susan Patricia Anduaga Bocanegra Md NPPES

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

SUSAN PATRICIA ANDUAGA BOCANEGRA MD (NPI 1316331259) is an individual internal medicine provider in Beaverton, Oregon, licensed in Arizona (58314) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2014).

NPPES Registry Identity

NPI1316331259

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUSAN PATRICIA ANDUAGA BOCANEGRACredential: MD

Location Address4855 SW WESTERN AVEBeaverton, OR 97005-3499

Mailing Address4855 Sw Western AveBeaverton, OR 97005-3499 · (503) 643-7565 · Fax (503) 626-4418

Phone(503) 643-7565

Fax(503) 626-4418

Sole ProprietorYes

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2014

Enumeration DateMarch 27, 2015

Last NPPES UpdateMay 4, 20263 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1316331259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 58314

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.

Also ListedPediatricsTaxonomy 208000000X · License 58314 (AZ)

4855 SW WESTERN AVE, Beaverton, OR 97005

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Patricia Anduaga Bocanegra Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305273640

PECOS Enrollment IDI20200225002965

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.

Medicare Billing Reassignments

Medicare enrollment records show Susan Anduaga Bocanegra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaverton Rehab & Specialty Care, LLC

1.0 mi

Skilled Nursing Facility

11850 SW ALLEN BLVD
Beaverton, OR 97005

Reassigned Medicare billing, Oregon and Washington enrollments
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
Also billed through NPI 1184786527 (Washington)
3,207 clinicians in this Medicare group

NPI 1366469330 (503) 646-7164

Banner -- University Primary Care Physicians LLC

985 mi

Primary Care

807 S PONDEROSA ST
Payson, AZ 85541

Reassigned Medicare billing, Arizona enrollment
66 clinicians in this Medicare group

NPI 1154791960 (928) 471-3222

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

109 services56 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

29 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

22 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 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.

MRS. RANDEEP KAUR DA

Dental Assistant