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MICHAEL L WOLLENBERG M.D.
NPI 1417193632
Anesthesiology - Critical Care Medicine in Portland, OR

Active since December 17, 2008PECOS EnrolledAccepts Medicare Assignment
84.46/100
CMS Quality Rating
3181 SW SAM JACKSON PARK RD, MAILCODE - UH2, PORTLAND, OR 97239(503) 494-7641 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michael L Wollenberg M.d. NPPES

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

MICHAEL L WOLLENBERG M.D. (NPI 1417193632) is an individual critical care medicine provider in Portland, Oregon, licensed in Oregon (MD156369) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of University Of Arizona College Of Medicine (2008).

NPPES Registry Identity

NPI1417193632
Entity TypeIndividualMale
Primary Taxonomy207LC0200X
Provider Legal NameMICHAEL L WOLLENBERGCredential: M.D.
Location Address3181 SW SAM JACKSON PARK RD, MAILCODE - UH2Portland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park Rd, Mailcode - Uh2Portland, OR 97239-3011 · (503) 494-7641
Phone(503) 494-7641
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2008
Enumeration DateDecember 17, 2008
Last NPPES UpdateApril 25, 2013
✔ NPI 1417193632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License✔ Licensed in OR · MD156369
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License MD156369 (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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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

Michael L Wollenberg M.d. 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 ID2365697976
PECOS Enrollment IDI20130524000620
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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.32
Improvement Activities40
Cost46.21

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 Michael Wollenberg's NPI number?

The NPI number for Michael Wollenberg is 1417193632. It was assigned to this individual provider in the NPPES registry on December 17, 2008.

Where is Michael Wollenberg located?

Michael Wollenberg practices at 3181 SW Sam Jackson Park Rd Mailcode - Uh2, Portland, OR 97239. The listed phone number is (503) 494-7641.

What is Michael Wollenberg's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Michael Wollenberg enrolled in Medicare?

Yes. Michael Wollenberg 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.

Is Michael Wollenberg affiliated with any hospitals?

According to CMS data, Michael Wollenberg is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Michael Wollenberg was last updated on April 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.