Individual provider Active NPI

Aloysius N. Fobi, MD

  • Emergency Medicine Physician
  • Portland, OR
National Provider Identifier
1255350328
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD23640 Issued in OR
Practice address
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone
(503) 413-4121
NPI assigned
Jul 19, 2006
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 71262 AZ
Emergency Medicine Physician 207P00000X MD23640 OR Primary

Addresses

Primary practice location

2801 N Gantenbein Ave
Portland, OR 97227-1623

Mailing address

6312 SW Capitol Hwy
#502
Portland, OR 97239-1938
Phone (503) 464-9034

Other identifiers 1

IdentifierTypeStateIssuer
286486MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, NV, AZ, CA5 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
I20080717000218 OR Practitioner - Emergency Medicine 9638242183 Reassigns benefits to 4 organizations
I20200409003344 WA Practitioner - Emergency Medicine 9638242183 Reassigns benefits to 1 organization
I20230128000215 NV Practitioner - Emergency Medicine 9638242183 Reassigns benefits to 1 organization
I20240510000857 AZ Practitioner - Emergency Medicine 9638242183 Reassigns benefits to 1 organization
I20250905004263 CA Practitioner - Emergency Medicine 9638242183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Urgent Care Medical CorporationGroup PAC ID 8820590060, 5 clinicians

Practice addresses (Care Compare)

483 Grass Valley Hwy
Auburn, CA 95603-3713
Phone (530) 537-2250

7400 Van Nuys Blvd
Suite 111
Van Nuys, CA 91405-1972
Phone (213) 858-6564

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.85 of 100Reported as group
Quality
84.92
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Northwest Acute Care Specialists PC Emergency Medicine CurrentSince Jul 22, 2002 Accepting new patients
Good Shepherd Health Care System CurrentSince Apr 1, 2019 Accepting new patients
Western Healthcare Services Texas Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Northwest Acute Care Specialists PC Emergency Medicine CurrentSince Jul 22, 2002 Accepting new patients
A&L Medical Center, Inc. Family Medicine CurrentSince Dec 2, 2025 Accepting new patients
Vegas Visiting Physicians Associates Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Wellness Urgent Care Medical Corporation Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Sawubona, LLC CurrentSince Jun 1, 2020 Accepting new patients
Changa LLC Family Medicine PastSince Mar 1, 2023 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Sound Internal Medicine Inc Family Medicine Past Accepting new patients

Locations

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

483 Grass Valley Hwy
Auburn, CA 95603
Phone (530) 537-2250

7400 Van Nuys Blvd
Ste 111
Van Nuys, CA 91405
Phone (818) 616-4484

5765 S Rainbow Blvd
Ste 111
Las Vegas, NV 89118
Phone (702) 853-9063

500 5th St
Brookings, OR 97415
Phone (541) 412-2000

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1675 SW Marlow Ave
Ste 301
Portland, OR 97225
Phone (503) 469-9818

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

8375 SW Beaverton Hillsdale Hwy
Ste 100
Portland, OR 97225
Phone (503) 298-4104

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Organizations & group practices 12

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 5

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1255350328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 SW CAPITOL HWY",
            "address_2": "#502",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391938",
            "telephone_number": "503-464-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N GANTENBEIN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271623",
            "telephone_number": "503-413-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOBI",
        "first_name": "ALOYSIUS",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "71262",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD23640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286486",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.