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DR. MARK D. RELLER M.D.
NPI 1972548469
Pediatrics - Pediatric Cardiology in Portland, OR

Active since June 18, 2006PECOS Enrolled
707 SW GAINES ST, CDRC-P, PORTLAND, OR 97239(503) 494-2192(503) 494-2824 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark D. Reller M.d. NPPES

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

DR. MARK D. RELLER M.D. (NPI 1972548469) is an individual pediatric cardiology provider in Portland, Oregon, licensed in Oregon (MD13950) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972548469
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. MARK D. RELLERCredential: M.D.
Location Address707 SW GAINES ST, CDRC-PPortland, OR 97239-2901
Mailing Address707 Sw Gaines St, Cdrc-pPortland, OR 97239-2901 · (503) 494-2192 · Fax (503) 494-2824
Phone(503) 494-2192
Fax(503) 494-2824
Sole ProprietorNo
Enumeration DateJune 18, 2006
Last NPPES UpdateNovember 18, 2011
✔ NPI 1972548469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in OR · MD13950
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License MD13950 (OR)
707 SW GAINES ST, Portland, OR 97239
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Other Identifiers 1

Medicare UPINC93597OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark D. Reller M.d. 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.

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.

MS. MARGARET WOLF
Occupational Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8095
MRS. LEAH BJORNSKOV WESSENBERG FNP
Nurse Practitioner (Family)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-7859
DR. MICHAEL AVRAM HARRIS PH.D.
Psychologist (Clinical Child & Adolescent)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-8942
DANIELLE MOYER PHD
Psychologist (Clinical)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-6337
DAVID L. OLESON PT
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (800) 452-3563
JESSICA NASON
Physical Therapist
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (860) 917-2128
UNIVERSITY PROFESSIONAL SERVICES
Clinic/Center (Multi-Specialty)
707 SW GAINES ST
PORTLAND, OR 97239
Multnomah County (503) 494-9000
OREGON HEALTH AND SCIENCE UNIVERSITY
Clinic/Center
707 SW GAINES ST, MAILCODE: CDRC -- ATTN: JEFF REHA
PORTLAND, OR 97239
Multnomah County (503) 494-2709

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 Mark Reller's NPI number?

The NPI number for Mark Reller is 1972548469. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Mark Reller located?

Mark Reller practices at 707 SW Gaines St Cdrc-P, Portland, OR 97239. The listed phone number is (503) 494-2192.

What is Mark Reller's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Mark Reller enrolled in Medicare?

Yes. Mark Reller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Reller was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.