DR. ALEXANDRA CERUTTI BOLOGNESE MD, PHD
NPI 1356609374
Transplant Surgery in Portland, OR
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
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Alexandra Bolognese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97239
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, OROther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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.
Which organization bills Medicare for Alexandra Bolognese's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Bolognese reassigns Medicare benefits to University Professional Services (Portland, OR). The 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 Alexandra Bolognese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexandra Bolognese accept?
Health plans from PacificSource Health Plans and Providence Health Plan 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Alexandra Cerutti Bolognese, MD, PHD · NPI 1356609374
Transplant Surgery physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 27, 2012.
## Identity
- **NPI:** 1356609374 (Entity type: Individual)
- **Enumerated:** April 27, 2012
- **Primary specialty:** Transplant Surgery · taxonomy 204F00000X
- **State license:** MD210833 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-7810 · **Fax:** (503) 494-5292
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Professional Services (NPI 1376709535, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Massachusetts Medical School, class of 2012
## Record status
- **NPPES last updated:** October 18, 2022
- **Other identifiers:** Other MD210833 (OR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1356609374) · Data from the CMS NPPES public registry.