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DR. ALEXANDRA CERUTTI BOLOGNESE MD, PHD
NPI 1356609374
Transplant Surgery in Portland, OR

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-7810(503) 494-5292 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2022, Jul 29, 2022, May 20, 2022 and 3 more (6 updates tracked since 2015).

About Dr. Alexandra Cerutti Bolognese Md, Phd NPPES

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

DR. ALEXANDRA CERUTTI BOLOGNESE MD, PHD (NPI 1356609374) is an individual transplant surgery provider in Portland, Oregon, licensed in Oregon (MD210833) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of University Of Massachusetts Medical School (2012).

NPPES Registry Identity

NPI1356609374
Entity TypeIndividualFemale
Primary Taxonomy204F00000X
Provider Legal NameDR. ALEXANDRA CERUTTI BOLOGNESECredential: MD, PHD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address117 S Hamilton StMadison, WI 53703-4314
Phone(503) 494-7810
Fax(503) 494-5292
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2012
Enumeration DateApril 27, 2012
Last NPPES UpdateOctober 18, 20226 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1356609374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
Licenses✔ Licensed in OR · MD210833✔ Licensed in WI · 73045
Definition

A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License MD210833 (OR), 73045 (WI)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Other Identifiers 1

OtherMD210833OR · License

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alexandra Cerutti Bolognese Md, Phd 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 ID7012268881
PECOS Enrollment IDI20220818002387
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Alexandra Bolognese's NPI number?

The NPI number for Alexandra Bolognese is 1356609374. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Alexandra Bolognese located?

Alexandra Bolognese practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-7810.

What is Alexandra Bolognese's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Alexandra Bolognese enrolled in Medicare?

Yes. Alexandra Bolognese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alexandra Bolognese accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Alexandra Bolognese 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.

Is Alexandra Bolognese affiliated with any hospitals?

According to CMS data, Alexandra Bolognese is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Alexandra Bolognese was last updated on October 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.