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STEFAN MICHAEL MAMMELE MD
NPI 1760902126
Pediatrics - Neonatal-Perinatal Medicine in Portland, OR

Active since June 26, 2017PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8311 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 1, 2022, Jul 21, 2022, Feb 3, 2022 and 2 more (5 updates tracked since 2017).

About Stefan Michael Mammele Md NPPES

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

STEFAN MICHAEL MAMMELE MD (NPI 1760902126) is an individual neonatal-perinatal medicine provider in Portland, Oregon, licensed in Oregon (MD208040) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Honolulu.

NPPES Registry Identity

NPI1760902126
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameSTEFAN MICHAEL MAMMELECredential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-8122 · Fax (503) 494-1542
Phone(503) 494-8311
Sole ProprietorNo
Enumeration DateJune 26, 2017
Last NPPES UpdateAugust 1, 20225 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
✔ NPI 1760902126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in OR · MD208040
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License MD208040 (OR), MDR7366 (HI)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Location 1

Location 11319 Punahou St # 741Honolulu, HI 96826-1001 · Phone (808) 369-1200

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefan Michael Mammele Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Stefan Mammele reassigns Medicare billing to 2 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
Portland Adventist Medical Center
6.3 mi
Anesthesiology
10123 SE MARKET ST
Portland, OR 97216
  • Reassigned Medicare billing, Oregon enrollment
  • 331 clinicians in this Medicare group
NPI 1437925310 (503) 251-6136

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stefan Mammele's NPI number?

The NPI number for Stefan Mammele is 1760902126. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Stefan Mammele located?

Stefan Mammele practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8311.

What is Stefan Mammele's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Stefan Mammele enrolled in Medicare?

Yes. Stefan Mammele is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stefan Mammele's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefan Mammele reassigns Medicare benefits to 2 organizations: University Professional Services (Portland, OR) and Portland Adventist Medical Center (Portland, OR). 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 Stefan Mammele's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stefan Mammele accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Stefan Mammele 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.

When was this NPI record last updated?

The NPPES record for Stefan Mammele was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.