NPIMap

Individual provider Active NPI

Amitha Gona, M.D.

  • Rheumatology Physician
  • Tualatin, OR
National Provider Identifier
1053611566
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD Issued in OR
Practice address
7589 SW Mohawk St
Tualatin, OR 97062-9189
Phone
(971) 377-7677
Fax
(971) 433-5177
NPI assigned
Oct 30, 2010
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD OR Primary

Addresses

Primary practice location

7589 SW Mohawk St
Tualatin, OR 97062-9189

Mailing address

7589 SW Mohawk St
Tualatin, OR 97062-9189
Phone (971) 377-7677

Other practice location 1

3025 Ryan Dr SE
Salem, OR 97301-5057
Phone (503) 485-0350

Other identifiers 1

IdentifierTypeStateIssuer
500687580MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150716003329 OR Practitioner - RheumatologyPractitioner - Internal Medicine 0941513162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Oncology Specialists LLPGroup PAC ID 3971576240, 41 clinicians

Practice addresses (Care Compare)

3025 Ryan Dr SE
Salem, OR 97301-5057
Phone (503) 485-0350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDORMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Oncology Specialists, LLP Rheumatology CurrentSince May 4, 2020 Accepting new patients
Oregon Oncology Specialists, LLP CurrentSince May 4, 2020 Accepting new patients
Oregon Oncology Specialists, LLP CurrentSince May 4, 2020 Accepting new patients

Locations

2700 SE Stratus Ave
Ste A
McMinnville, OR 97128
Phone (503) 435-6590

3025 Ryan Dr SE
Salem, OR 97301
Phone (503) 485-0350

875 Oak St SE
Ste 4030
Salem, OR 97301
Phone (503) 561-6492

Interoperability endpoints

  • Direct secure messaging: amitha.gona@hoos.ikm.direct-ci.com

Organizations & group practices 4

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

Hospital & facility affiliations 48

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1288396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1053611566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7589 SW MOHAWK ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629189",
            "telephone_number": "971-377-7677",
            "fax_number": "971-433-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7589 SW MOHAWK ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629189",
            "telephone_number": "971-377-7677",
            "fax_number": "971-433-5177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Ryan Dr SE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973015057",
            "country_code": "US",
            "telephone_number": "503-485-0350",
            "fax_number": "503-561-6442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONA",
        "first_name": "AMITHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-30",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OR",
            "license": "MD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500687580",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.