Andrew A. Chiu, MD
Individual provider Active NPI Anesthesiology Physician · Portland, OR
NPI 1093780751 · NPPES record last updated Oct 10, 2018
Key facts
- NPI
- 1093780751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD19345 (OR)
- Practice address
- 707 SW Washington St
Suite 700
Portland, OR 97205-3536 - Phone
- (503) 299-9906
- Fax
- (503) 225-9002
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Oregon Health Sciences University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oregon Anesthesiology Group PC
Practice addresses (Care Compare)
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 299-9906
Hospital & facility affiliations
- Legacy Emanuel Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101029000233 | OR | Practitioner - Anesthesiology |
5991999351 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19345 | OR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Anesthesiology Group PC | Anesthesiology | Current |
Accepting new patients |
| Oag Trauma Services LLC | Anesthesiology | Past | Accepting new patients |
Locations
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
707 SW Washington St
Ste 700
Portland, OR 97205
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3181 SW Sam Jackson Park Rd
#2
Portland, OR 97239
Phone (503) 494-4910
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD19345 | OR | |
| Anesthesiology Physician | 207L00000X | MD19345 | OR | Yes |
Addresses
Primary practice location
707 SW Washington St
Suite 700
Portland, OR 97205-3536
Mailing address
PO Box 35147
#1801
Seattle, WA 98124-5147
Phone (503) 299-9906
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD302OR | Medicaid | AK | |
| 8247348 | Medicaid | WA | |
| P00031049 | Other | OR | RR MEDICARE |
| 134123 | Medicaid | OR |
Other providers in Portland, OR
- Yevhen Chishko Chishko
- Danielle J Chisholm
- Suvi Chisholm
- Derek Chittenden
- Amy Elizabeth Chitwood
- Annie W Chiu
- April Chiu
- Edward Sen-How Chiu
- Jeffrey Chiu
- Sarah Chiu
All providers in Portland, OR · Anesthesiology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.