Individual provider Active NPI

Robert C Sayson, MD

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1104804244
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD12471 Issued in OR
Practice address
18000 SE Stark St
Portland, OR 97233-4828
Phone
(503) 489-0567
Fax
(503) 489-0568
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD12471 OR Primary

Addresses

Primary practice location

18000 SE Stark St
Portland, OR 97233-4828

Mailing address

PO Box 3113
Gresham, OR 97030-3113
Phone (503) 489-0567

Other identifiers 1

IdentifierTypeStateIssuer
035381MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001481 OR Practitioner - Internal Medicine 3577451822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1974
Medicare assignment
May accept Medicare assignment
Group practices
Good News Community Health Center IncGroup PAC ID 0547482713, 3 clinicians

Practice addresses (Care Compare)

18000 SE Stark St
Portland, OR 97233-4828
Phone (503) 489-0567

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD12471ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good News Community Health Center, Inc CurrentSince Sep 1, 2014 Accepting new patients

Locations

18000 SE Stark St
Portland, OR 97233
Phone (503) 489-0567

Interoperability endpoints

  • Direct secure messaging: robert.sayson.1@17909.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17909/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1104804244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3113",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303113",
            "telephone_number": "503-489-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334828",
            "telephone_number": "503-489-0567",
            "fax_number": "503-489-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYSON",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD12471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035381",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.