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DR. GINA-MARIE BARLETTA MD
NPI 1417921131
Pediatrics - Pediatric Nephrology in Portland, OR

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-7327(503) 418-6718 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 10, 2024, Dec 17, 2018, Mar 1, 2017 (3 updates tracked since 2017).

About Dr. Gina-marie Barletta Md NPPES

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

DR. GINA-MARIE BARLETTA MD (NPI 1417921131) is an individual pediatric nephrology provider in Portland, Oregon, licensed in Oregon (MD219029) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1417921131
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameDR. GINA-MARIE BARLETTACredential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-7327 · Fax (503) 418-6718
Phone(503) 494-7327
Fax(503) 418-6718
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1997
Enumeration DateFebruary 17, 2006
Last NPPES UpdateApril 10, 20243 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1417921131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
Licenses✔ Licensed in OR · MD219029✔ Licensed in MI · 4301076436✔ Licensed in AZ · 43741
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatricsTaxonomy 208000000X · License MD219029 (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Other Names 1

Former Name (1)Dr. Gina-marie Palombo

Secondary Practice Location 1

Location 13333 E Camelback Rd, SUITE 180Phoenix, AZ 85018-2322 · Phone (602) 997-0484 · Fax (602) 224-3315

Other Identifiers 1

Medicaid580589AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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. Gina-marie Barletta 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 ID3870572142
PECOS Enrollment IDI20240306003857
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Gina-marie Barletta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Professional Services
Same address
General Practice
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1376709535 (503) 494-8311
Phoenix Children's Medical Group
989 mi
Multi-Specialty
20325 N 51ST AVE, STE 116
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group
NPI 1679703441 (602) 933-0003
District Medical Group, Inc
1,005 mi
Surgery
2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1174856280 (602) 344-1095

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 2

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

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims336 services$4.30 avg. paid by Medicare
Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier21 claims255 services$4.07 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers77 claims5,869 services$0.34 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims1,650 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers48 claims6,842 services$0.19 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers20 claims870 services$2.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gina-marie Barletta's NPI number?

The NPI number for Gina-marie Barletta is 1417921131. It was assigned to this individual provider in the NPPES registry on February 17, 2006. The provider is also known as Dr. Gina-Marie Palombo.

Where is Gina-marie Barletta located?

Gina-marie Barletta practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-7327.

What is Gina-marie Barletta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Gina-marie Barletta enrolled in Medicare?

Yes. Gina-marie Barletta 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 organizations bill Medicare for Gina-marie Barletta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina-marie Barletta reassigns Medicare benefits to 3 organizations: University Professional Services (Portland, OR), Phoenix Children's Medical Group (Glendale, AZ) and District Medical Group, Inc (Phoenix, AZ). Each 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 Gina-marie Barletta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina-marie Barletta accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Gina-marie Barletta 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 Gina-marie Barletta affiliated with any hospitals?

According to CMS data, Gina-marie Barletta is affiliated with Ohsu Hospital And Clinics and Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Gina-marie Barletta was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.