DR. MICHELLE ICHIKAWA MD
NPI 1376996751
Obstetrics & Gynecology in Clackamas, OR

Q: What is Michelle Ichikawa's NPI number?

The NPI number for Michelle Ichikawa is 1376996751. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Q: What is Michelle Ichikawa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Ichikawa was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 July 20, 2016PECOS EnrolledAccepts Medicare Assignment

10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 813-2000 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2025, Aug 11, 2025, Oct 20, 2023 and 2 more (5 updates tracked since 2019).

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About Dr. Michelle Ichikawa Md NPPES

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

DR. MICHELLE ICHIKAWA MD (NPI 1376996751) is an individual obstetrics & gynecology provider in Clackamas, Oregon, licensed in Oregon (MD224347) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376996751

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. MICHELLE ICHIKAWACredential: MD

Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970

Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2099 · (503) 813-2000

Phone(503) 813-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 20, 2016

Last NPPES UpdateDecember 11, 20255 updates tracked since enumeration

NPPES CertifiedDecember 11, 2025

✔ NPI 1376996751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in OR · MD224347✔ Licensed in HI · MDR7728✔ Licensed in CT · 74109

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

10180 SE SUNNYSIDE RD, Clackamas, OR 97015

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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 and accepts Medicare assignment

Dr. Michelle Ichikawa 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 ID5496115842

PECOS Enrollment IDI20251103001821, I20251103002555

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 97015 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

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

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.

DR. DANIEL FORREST LOTSPEICH MD

Internal Medicine

10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

MEGAN LEA KELLY

Emergency Medicine

10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

JARROD L LARSON M.D.

Anesthesiology