NPI Details
Douglas A Portelance, MD is an internal medicine in Kirkland, WA with 42 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Douglas A Portelance, MD NPI is 1932291127. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:1984
The provider's business location address is:
12333 NE 130TH LN
STE 310
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-6700
Fax: (425) 899-6701
The NPI 1932291127 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Automated urinalysis test (HCPCS:81003)
- Hemoglobin a1c level (HCPCS:83036)
- Blood test, clotting time (HCPCS:85610)
- Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Assessment of emotional or behavioral problems (HCPCS:96127)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
- Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose (HCPCS:0001A)
- Fee covid-19 vac 13 res (HCPCS:0124A)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 9/28/2006 and was last updated on 11/12/2012.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | MD00024648 | WASHINGTON | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | GAB19699 | MEDICARE PIN | WASHINGTON | |
| 2 | 0552PO | OTHER | WASHINGTON | REGENCE HEALTH |
| 3 | 145685 | OTHER | WASHINGTON | LABOR & INDUSTRY |
| 4 | A06211 | MEDICARE UPIN | | |
