Individual provider Active NPI

Nazir A Memon, MD

  • Pulmonary Disease Physician
  • Eugene, OR
National Provider Identifier
1144521725
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD222846 Issued in OR
Practice address
3125 Chad Dr
Eugene, OR 97408-7440
Phone
(541) 687-1712
Fax
(541) 687-7943
NPI assigned
Nov 12, 2010
Last updated
Nov 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD035793L PA
Pulmonary Disease Physician 207RP1001X MD222846 OR Primary

Addresses

Primary practice location

3125 Chad Dr
Eugene, OR 97408-7440

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 242-7480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmemon273570@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WY, WI, NE, IL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20211021001415 OH Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5496176737 Reassigns benefits to 1 organization
I20240417003373 WY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5496176737 Reassigns benefits to 1 organization
I20240917002755 WI Practitioner - Pulmonary Disease 5496176737 Reassigns benefits to 1 organization
I20241001001918 NE Practitioner - Pulmonary Disease 5496176737 Reassigns benefits to 1 organization
I20250505003315 IL Practitioner - Pulmonary Disease 5496176737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

10 E 31St St
CHI Health Good Samaritan
Kearney, NE 68847-2908
Phone (308) 865-7100

830 W High St
Suite 390
Lima, OH 45801-3988
Phone (419) 226-9610

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2685WIMDClinical Social Worker
MD035793LPAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Apr 1, 2025 Accepting new patients
Banner Hospital Based Physicians West LLC CurrentSince Mar 13, 2024 Accepting new patients
CHI Health Clinic Specialty, LLC Pulmonary Disease CurrentSince Oct 1, 2024 Accepting new patients
Waukegan Clinic Corp CurrentSince Apr 1, 2025 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Pulmonary Disease CurrentSince Jun 14, 2025 Accepting new patients
Banner Hospital Based Physicians West LLC CurrentSince Mar 13, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Sep 4, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Sep 4, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Oregon Lung Specialists, LLC PastSince Dec 15, 2024 Accepting new patients

Locations

200 S Greenleaf St
Ste A
Gurnee, IL 60031
Phone (847) 244-5660

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

770 W High St
Ste 240
Lima, OH 45801
Phone (419) 224-8414

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

1233 E 2nd St
Casper, WY 82601
Phone (307) 577-2171

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
  • Direct secure messaging: nmemon273570@direct.geisinger.edu
  • Direct secure messaging: nmemon90163@direct.bsmhealth.org

Organizations & group practices 10

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1144521725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 CHAD DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087440",
            "telephone_number": "541-687-1712",
            "fax_number": "541-687-7943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Lewistown",
            "state": "PA",
            "postal_code": "170441167",
            "country_code": "US",
            "telephone_number": "717-242-7480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEMON",
        "first_name": "NAZIR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-12",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD035793L",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "MD222846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmemon273570@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 Highland Ave",
            "city": "Lewistown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170441167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.