NPIMap

Individual provider Active NPI

Michael G. Sherman, M.D.

  • Internal Medicine Physician
  • West Linn, OR
National Provider Identifier
1205866589
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD24253 Issued in OR
Practice address
21810 Willamette Dr Ste 200
West Linn, OR 97068-3287
Phone
(503) 994-4353
Fax
(833) 975-0942
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD24253 OR
Internal Medicine Physician 207R00000X MD24253 OR Primary

Addresses

Primary practice location

21810 Willamette Dr Ste 200
West Linn, OR 97068-3287

Mailing address

21810 Willamette Dr Ste 200
West Linn, OR 97068-3287
Phone (503) 994-4353

Other practice location 1

1829 NW Kings Blvd
Corvallis, OR 97330-1907
Phone (541) 230-5811

Other identifiers 1

IdentifierTypeStateIssuer
500717908MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422000691 OR Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0547256869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Family Catholic Clinic P SGroup PAC ID 4587083779, 3 clinicians

Practice addresses (Care Compare)

21810 Willamette Dr
Suite 200
West Linn, OR 97068-3287
Phone (503) 994-4353

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Family Catholic Clinic, P.S. Internal Medicine CurrentSince Sep 8, 2020 Accepting new patients
Good Samaritan Hospital Corvallis Past Accepting new patients
Firstcare Medical Foundation Internal Medicine PastSince Sep 1, 2004 Accepting new patients

Locations

1829 NW Kings Blvd
Corvallis, OR 97330
Phone (541) 752-5048

1885 NW Kings Blvd
Corvallis, OR 97330
Phone (503) 994-4353

21810 Willamette Dr
Ste 200
West Linn, OR 97068
Phone (503) 994-4353

Interoperability endpoints

  • Direct secure messaging: michael.sherman.1@22103.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22103/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1205866589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21810 WILLAMETTE DR STE 200",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683287",
            "telephone_number": "503-994-4353",
            "fax_number": "833-975-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21810 WILLAMETTE DR STE 200",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683287",
            "telephone_number": "503-994-4353",
            "fax_number": "833-975-0942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1829 NW Kings Blvd",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973301907",
            "country_code": "US",
            "telephone_number": "541-230-5811",
            "fax_number": "833-975-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "MICHAEL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD24253",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD24253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500717908",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

Verify at the official NPI Registry.