BRENDA REBECCA IKWAP MD
NPI 1396204533
Surgery in Tualatin, OR

Q: What is Brenda Ikwap's NPI number?

The NPI number for Brenda Ikwap is 1396204533. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Brenda Ikwap's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Ikwap was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 March 18, 2019PECOS EnrolledAccepts Medicare Assignment

19250 SW 65TH AVE STE 235, TUALATIN, OR 97062(503) 692-5650(503) 692-7903 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2024, Aug 19, 2024, Mar 18, 2019 (3 updates tracked since 2019).

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About Brenda Rebecca Ikwap Md NPPES

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

BRENDA REBECCA IKWAP MD (NPI 1396204533) is an individual surgery provider in Tualatin, Oregon, licensed in Oregon (MD221309) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Legacy Meridian Park Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1396204533

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameBRENDA REBECCA IKWAPCredential: MD

Location Address19250 SW 65TH AVE STE 235Tualatin, OR 97062-7745

Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825

Phone(503) 692-5650

Fax(503) 692-7903

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateDecember 19, 20243 updates tracked since enumeration

NPPES CertifiedDecember 19, 2024

✔ NPI 1396204533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OR · MD221309

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

19250 SW 65TH AVE STE 235, Tualatin, OR 97062

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Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3098 · Phone (503) 494-8211

Other Identifiers 2

Medicaid2136113WA

Medicaid500765006OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Brenda Rebecca Ikwap 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 ID446588388

PECOS Enrollment IDI20240902000422

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.

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380089

Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97062 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WON BAHNG HWEE PA-C

Physician Assistant (Surgical)