Individual provider Active NPI

Miho Teruya Dougherty, M.D.

  • Hematology & Oncology Physician
  • Eugene, OR
National Provider Identifier
1184950479
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD176777 Issued in OR
Practice address
520 Country Club Pkwy
Eugene, OR 97401-6043
Phone
(541) 683-5001
NPI assigned
Oct 21, 2009
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P1498 TX
Internal Medicine Physician 207R00000X BP10034533 TX
Hematology & Oncology Physician 207RH0003X MD176777 OR Primary

Addresses

Primary practice location

520 Country Club Pkwy
Eugene, OR 97401-6043

Mailing address

520 Country Club Pkwy
Eugene, OR 97401-6043

Other names 1

  • Miho Teruya Former name

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
I20160926000998 OR Practitioner - Hematology/Oncology 5991092579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Texas Tech University Health Science Center School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

520 Country Club Pkwy
Eugene, OR 97401-6043
Phone (541) 683-5001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10034533TXMDInternal Medicine Physician
P1498TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Associates of Oregon P C Hematology & Oncology CurrentSince Sep 1, 2016 Accepting new patients
Oncology Associates of Oregon P C CurrentSince Sep 1, 2016 Accepting new patients

Locations

520 Country Club Pkwy
Eugene, OR 97401
Phone (541) 681-4948

Interoperability endpoints

  • Direct secure messaging: miho.dougherty@wvci.ikm.direct-ci.com
  • Direct secure messaging: mtdoughe@yourcarecommunity.org

Organizations & group practices 2

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 6

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": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1184950479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COUNTRY CLUB PKWY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COUNTRY CLUB PKWY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016043",
            "telephone_number": "541-683-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY",
        "first_name": "MIHO",
        "middle_name": "TERUYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1498",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10034533",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD176777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIHO",
            "last_name": "TERUYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.