Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alexandra Cerutti Bolognese, MD, PHD

Individual provider Transplant Surgery Physician · NPI 1356609374

Dr. Alexandra Cerutti Bolognese, MD, PHD is a General Surgery in Portland, Oregon. Graduated from University of Massachusetts Medical School in 2012, 14 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon and Wisconsin.

Years since qualifying
14
Trained at
University of Massachusetts Medical School
Licensed in
OR, WI
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7810
Fax: (503) 494-5292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Transplant Surgery Physician (primary) Taxonomy 204F00000X · Licence MD210833 (OR)
Transplant Surgery Physician Taxonomy 204F00000X · Licence 73045 (WI)
Surgery Physician Taxonomy 208600000X · Licence MD210833 (OR)
Surgery Physician Taxonomy 208600000X · Licence 73045 (WI)

Record details

NPI number1356609374
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedApril 27, 2012
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2012 (14 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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