Individual provider Active NPI

Prashant P Vivek, MD

  • Otolaryngology Physician
  • Eugene, OR
National Provider Identifier
1164520870
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD27513 Issued in OR
Practice address
330 S Garden Way
Suite 300
Eugene, OR 97401-8176
Phone
(541) 334-3370
Fax
(541) 334-3372
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Northeastern Ohio University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Healthcare Resources LLC 160 clinicians

Practice addresses (Care Compare)

2000 N 19TH St
Springfield, OR 97477-2526
Phone (541) 746-5437

330 S Garden Way
Suite 350
Eugene, OR 97401-8179
Phone (541) 746-6816

600 Country Club Rd
Eugene, OR 97401-2240
Phone (541) 345-0600

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20070912000118 OR Practitioner - Otolaryngology 0648200865 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27513ORMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Healthcare Resources, LLC CurrentSince Feb 1, 2011 Accepting new patients
Willamette Community Medical Group LLC Past Accepting new patients

Locations

330 S Garden Way
Ste 300
Eugene, OR 97401
Phone (541) 334-3370

920 Country Club Rd
Ste 100A
Eugene, OR 97401
Phone (541) 242-4162

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Interoperability endpoints

  • Direct secure messaging: pvivek42196@westdirect.optum.com
  • Direct secure messaging: pvivek@yourcarecommunity.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD27513 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

330 S Garden Way
Suite 300
Eugene, OR 97401-8176

Mailing address

PO Box 1648
Eugene, OR 97440-1648
Phone (541) 334-3370

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
006392MedicaidOR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2025.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1164520870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401648",
            "telephone_number": "541-334-3370",
            "fax_number": "541-334-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S GARDEN WAY",
            "address_2": "SUITE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018176",
            "telephone_number": "541-334-3370",
            "fax_number": "541-334-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVEK",
        "first_name": "PRASHANT",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD27513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006392",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.