Individual provider Active NPI

Aviva Zigman, MD

  • General Practice Physician
  • Milwaukie, OR
National Provider Identifier
1013970060
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD23025 Issued in OR
Practice address
4560 SE International Way Ste 100
Milwaukie, OR 97222-4628
Phone
(971) 206-5164
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD23025 OR Primary
Emergency Medicine Physician 207P00000X MD23025 OR
Emergency Medicine Physician 207P00000X MD00044976 WA

Addresses

Primary practice location

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Mailing address

1150 NW Quimby St Unit 1404
Portland, OR 97209-2491
Phone (503) 516-1110

Other identifiers 5

IdentifierTypeStateIssuer
287416MedicaidOR
1040634MedicaidWA
P00301890OtherRAILROAD MEDICARE
858543002OtherREGENCE BC/BS
XPY206193MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX, NV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050816000281 OR Practitioner - Emergency Medicine 6406886134 Reassigns benefits to 3 organizations
I20201216000599 TX Practitioner - Emergency Medicine 6406886134 Reassigns benefits to 1 organization
I20230613000829 NV Practitioner - Emergency Medicine 6406886134 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD23025ORMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix Area Emergency Medicine CurrentSince Nov 13, 2020 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Apr 24, 2023 Accepting new patients
Good Shepherd Health Care System CurrentSince Jul 1, 2018 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince Apr 24, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
Marquis Clinical Services LLC CurrentSince Jan 1, 2024 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Commonwealth Healthcare Corporation Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
Cep America LLC Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1013970060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW QUIMBY ST UNIT 1404",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092491",
            "telephone_number": "503-516-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224628",
            "telephone_number": "971-206-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIGMAN",
        "first_name": "AVIVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "MD23025",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD23025",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00044976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287416",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1040634",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00301890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BC/BS",
            "identifier": "858543002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XPY206193",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.