Individual provider Active NPI

Cynthia Ann Gingalewski, MD

  • Pediatric Surgery Physician
  • Portland, OR
National Provider Identifier
1043300502
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
MD161804 Issued in OR
Practice address
501 N Graham St
Mob 2 Suite 300
Portland, OR 97227-1654
Phone
(503) 413-4300
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X MD035632 DC
Pediatric Surgery Physician 2086S0120X MD161804 OR Primary

Addresses

Primary practice location

501 N Graham St
Mob 2 Suite 300
Portland, OR 97227-1654

Mailing address

501 N Graham St
Mob 2 Suite 300
Portland, OR 97227-1654
Phone (503) 413-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, SD, NM3 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
I20130816000384 OR Practitioner - Pediatric Medicine 0042245292 Reassigns benefits to 4 organizations
I20230925001522 SD Practitioner - Pediatric Medicine 0042245292 Reassigns benefits to 1 organization
I20240816001921 NM Practitioner - General Surgery 0042245292 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Sep 24, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince Nov 29, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
University Professional Services CurrentSince Oct 1, 2018 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Aug 1, 2013 Accepting new patients
Providence Health & Services - Oregon CurrentSince Nov 29, 2023 Accepting new patients
Avera McKennan Current Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 29, 2023 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
University Professional Services Current Accepting new patients
Avera McKennan CurrentSince Jul 24, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Aug 1, 2013 Accepting new patients
University Professional Services CurrentSince Oct 1, 2018 Accepting new patients
Presbyterian Healthcare Services CurrentSince Sep 24, 2024 Accepting new patients
Avera McKennan CurrentSince Jul 24, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Nov 29, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University Professional Services Past Accepting new patients
Silverton Health Past Accepting new patients
Children'S Hospital Past Accepting new patients

Locations

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

501 N Graham St
Ste 300
Portland, OR 97227
Phone (503) 413-4300

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: cgingalewski89678@direct.lhs.org
  • Direct secure messaging: cgingalewskimd81843@direct.ohsu.edu
  • Direct secure messaging: cgingalewski254061@direct.phs.org

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1043300502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST",
            "address_2": "MOB 2 SUITE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271654",
            "telephone_number": "503-413-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST",
            "address_2": "MOB 2 SUITE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271654",
            "telephone_number": "503-413-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGALEWSKI",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "DC",
            "license": "MD035632",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "OR",
            "license": "MD161804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.