BRENDA REBECCA IKWAP MD
NPI 1396204533
Surgery in Tualatin, OR

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: July 19, 2026.

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

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
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.

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

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

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.

Specialist
19250 SW 65TH AVE STE 235
TUALATIN, OR 97062
Surgery
19250 SW 65TH AVE STE 235
TUALATIN, OR 97062
Surgery
19250 SW 65TH AVE STE 235
TUALATIN, OR 97062
Physician Assistant (Surgical)
19250 SW 65TH AVE STE 235
TUALATIN, OR 97062
Surgery
19250 SW 65TH AVE STE 235
TUALATIN, OR 97062
Surgery
19250 SW 65TH AVE STE 235
TUALATIN, OR 97062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396204533, enumerated as an "individual" on March 18, 2019.

The provider is located at 19250 SW 65TH AVE STE 235 TUALATIN, OR 97062 and the phone number is (503) 692-5650.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.

Brenda Ikwap is affiliated with: LEGACY MERIDIAN PARK MEDICAL CENTER.