STEFAN MICHAEL MAMMELE MD
NPI 1760902126
Pediatrics - Neonatal-Perinatal Medicine in Portland, OR
NPI Status: Active since June 26, 2017
Contact Information
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239
Phone: (503) 494-8311
- Individual
- Male
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About STEFAN MAMMELE
This page provides the complete NPI Profile along with additional information for Stefan Mammele, a pediatrician established in Portland, Oregon with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1760902126 assigned on June 2017. The practitioner's primary taxonomy code is 2080N0001X with license number MD208040 (OR). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1760902126
- Provider Name
- STEFAN MICHAEL MAMMELE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239
- Location Phone
- (503) 494-8311
- Mailing Address
- 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239
- Mailing Phone
- (503) 494-8122
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-26-2017
- Last Update Date
- 08-01-2022
- Code Navigator
A pediatrician like Stefan Mammele is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 1319 Punahou St # 741
Honolulu, HI 96826
(808) 369-1200
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD208040
- License State
- OR
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MD208040 (OR) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MDR7366 (HI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Bronze HDHP 7500 - EPO
- Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Stefan Mammele is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 9 | 0 | 2 | 1 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 18 | 0 | 4 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 8 + 0 + 4 + 1 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1760902126 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972506301 | JERRIS ROBERT HEDGES MD, MS, MMM Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD # L-102 PORTLAND, OR 97239 (503) 494-2767 |
| 1720082357 | DR. BRANDON ZANE HOROWITZ M.D. Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-4833 |
| 1770587222 | MARY ANN BROWNING FNP Individual | Nurse Practitioner (Family) | 3181 SW SAM JACKSON PARK RD CDW-EM PORTLAND, OR 97239 (503) 494-7500 |
| 1427052166 | DR. ROBERT AUGUSTUS LOWE MD, MPH Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-7134 |
| 1629073895 | DR. MOHAMUD RAMZANALI DAYA MD, M S Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD MAILCODE CDW-EM PORTLAND, OR 97239 (503) 494-7248 |
| 1720083991 | DR. RITU SAHNI MD Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD # CDW PORTLAND, OR 97239 (503) 494-7500 |
| 1336144450 | DR. ALFREDO SABBAJ MD Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD MAIL CODE: CDW-EM PORTLAND, OR 97239 (503) 494-1475 |
| 1467457192 | ROBERT G HENDRICKSON MD Individual | Emergency Medicine (Medical Toxicology) | 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-9495 |
| 1912907908 | DR. JONATHAN JUI M.D. Individual | Emergency Medicine | 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-7500 |
| 1013918267 | DR. JAMES CHRISTOPHER AUSTIN MD Individual | Urology (Pediatric Urology) | 3181 SW SAM JACKSON PARK RD PEDIATRIC UROLOGY CDW-6 PORTLAND, OR 97239 (503) 494-4808 |
| 1285626507 | JENNIFER R ANTICK PHD Individual | Psychologist (Clinical) | 3181 SW SAM JACKSON PARK RD UHN 80 PORTLAND, OR 97239 (503) 494-7353 |
| 1043206279 | MS. MICHELE PATRICIA MEGREGIAN CNM Individual | Advanced Practice Midwife | 3181 SW SAM JACKSON PARK RD KPV7C PORTLAND, OR 97239 (503) 418-4500 |
| 1285615781 | SUSAN ROWELL M.D. Individual | Surgery (Trauma Surgery) | 3181 SW SAM JACKSON PARK RD L611 PORTLAND, OR 97239 (503) 494-2400 |
| 1104809920 | DAVID MARK SPIRO MD Individual | Pediatrics (Pediatric Emergency Medicine) | 3181 SW SAM JACKSON PARK RD MAIL CODE CDW-EM PORTLAND, OR 97239 (503) 494-0828 |
| 1457337123 | MR. PETER CHORDAS FNP-C Individual | Nurse Practitioner | 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-1368 |
| 1174509897 | DR. PASCALE M SCHWAB M.D. Individual | Internal Medicine (Rheumatology) | 3181 SW SAM JACKSON PARK RD OP09 PORTLAND, OR 97239 (503) 494-8963 |
| 1104896786 | DR. STEVEN JOHN SKOOG Individual | Urology (Pediatric Urology) | 3181 SW SAM JACKSON PARK RD CDW6 PORTLAND, OR 97239 (503) 494-4808 |
| 1760456925 | DR. CRAIGAN TODD USHER MD Individual | Psychiatry & Neurology (Psychiatry) | 3181 SW SAM JACKSON PARK RD MAIL CODE DC7P PORTLAND, OR 97239 (503) 418-5775 |
| 1093780769 | DR. NORMAN A. COHEN MD Individual | Anesthesiology | 3181 SW SAM JACKSON PARK RD UHS-2 PORTLAND, OR 97239 (503) 494-7641 |
| 1285609917 | DR. DAWN LYNN NOLT MD Individual | Pediatrics (Pediatric Infectious Diseases) | 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 (503) 494-9690 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760902126, enumerated in the NPI registry as an "individual" on June 26, 2017
The provider is located at 3181 Sw Sam Jackson Park Rd Portland, Or 97239 and the phone number is (503) 494-8311
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 26, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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