Active NPI
Andrew Gordon Sperlin, MD
- Internal Medicine Physician
- Portland, OR
National Provider Identifier
1083637268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD20921
- Practice address
- 5100 SW Macadam Ave
Suite 200
Portland, OR 97239-6102 - Phone
- (971) 202-5500
- Fax
- (971) 202-5555
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD20921 | OR | Primary |
Addresses
Primary practice location
5100 SW Macadam Ave
Suite 200
Portland, OR 97239-6102
Mailing address
5100 SW Macadam Ave
Suite 200
Portland, OR 97239-6102
Phone (971) 202-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170342 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20921 | OR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1083637268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 SW MACADAM AVE",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396102",
"telephone_number": "971-202-5500",
"fax_number": "971-202-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 SW MACADAM AVE",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972396102",
"telephone_number": "971-202-5500",
"fax_number": "971-202-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERLIN",
"first_name": "ANDREW",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD20921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170342",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.