Individual provider Active NPI

Vikas Garg, MD

  • Gastroenterology Physician
  • Roseburg, OR
National Provider Identifier
1174775951
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD166874 Issued in OR
Practice address
2510 NW Edenbower Blvd Ste 112
Roseburg, OR 97471-8899
Phone
(541) 464-6260
Fax
(541) 229-0014
NPI assigned
Oct 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD166874 OR Primary

Addresses

Primary practice location

2510 NW Edenbower Blvd Ste 112
Roseburg, OR 97471-8899

Mailing address

2801 NW Mercy Dr Ste 340
Roseburg, OR 97471-2348
Phone (541) 677-4319

Other practice location 1

2564 NW Edenbower Blvd
Suite 126
Roseburg, OR 97471-8854
Phone (541) 464-6260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140714000560 OR Practitioner - GastroenterologyPractitioner - Internal Medicine 4183849839 Reassigns benefits to 2 organizations
I20211026002723 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 4183849839 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaiser Foundation Health Plan of the NorthwestGroup PAC ID 5799688230, 1,805 clinicians

Practice addresses (Care Compare)

14406 NE 20TH Ave
Vancouver, WA 98686-1448
Phone (800) 813-2000

9900 SE Sunnyside Rd
Clackamas, OR 97015-9777
Phone (800) 813-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gastroenterology, PLLC Gastroenterology CurrentSince Oct 25, 2021 Accepting new patients
Centennial Medical Group Inc. Gastroenterology CurrentSince Jul 1, 2014 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 8, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 8, 2024 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 10, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 8, 2024 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 10, 2023 Accepting new patients
Advanced Gastroenterology PastSince Nov 10, 2024 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Kaiser Foundation Hospitals Past Accepting new patients

Locations

9900 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-8240

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

500 NE Multnomah St
Fl 11
Portland, OR 97232

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

2564 NW Edenbower Blvd
Ste 126
Roseburg, OR 97471
Phone (541) 464-6260

2801 NW Mercy Dr
Ste 340
Roseburg, OR 97471
Phone (541) 677-2494

2510 NW Edenbower Blvd
Ste 112
Roseburg, OR 97471
Phone (541) 464-6260

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

3250 SE 164th Ave
Ste 205
Vancouver, WA 98683
Phone (360) 946-4313

14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

1017 S 2nd Ave
Ste 4
Walla Walla, WA 99362
Phone (509) 529-4850

1017 S 2nd Ave
Ste 1
Walla Walla, WA 99362
Phone (509) 525-4900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174775951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NW MERCY DR STE 340",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712348",
            "telephone_number": "541-677-4319",
            "fax_number": "541-677-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 NW EDENBOWER BLVD STE 112",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718899",
            "telephone_number": "541-464-6260",
            "fax_number": "541-229-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2564 NW Edenbower Blvd",
            "address_2": "Suite 126",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974718854",
            "country_code": "US",
            "telephone_number": "541-464-6260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARG",
        "first_name": "VIKAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD166874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.