Individual provider Active NPI

Wai Man Belinda Siu, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, OR
National Provider Identifier
1275854671
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD168402 Issued in OR
Practice address
8329 SW Beaverton Hillsdale Hwy BLDG 2
Portland, OR 97225-2215
Phone
(503) 414-5160
NPI assigned
Jun 20, 2010
Sex
Female
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD168402 OR
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD168402 OR Primary

Addresses

Primary practice location

8329 SW Beaverton Hillsdale Hwy BLDG 2
Portland, OR 97225-2215

Mailing address

8329 SW Beaverton Hillsdale Hwy
BLDG 2
Portland, OR 97225
Phone (503) 414-5160

Other practice location 1

2222 NW Lovejoy St Ste 315
Portland, OR 97210-5101
Phone (503) 413-8018

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
I20141114001037 OR Practitioner - Family PracticePractitioner - Geriatric Medicine 8628211323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074

6485 SW Borland Rd
Suite F
Tualatin, OR 97062-9762
Phone (503) 413-8018

8329 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2215
Phone (503) 414-5160

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Portland, OR, CCN 387003
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Legacy Salmon Creek Medical Center Hospital, Vancouver, WA, CCN 500150
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 16, 2014 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 16, 2014 Accepting new patients
Legacy Clinics LLC Family Medicine CurrentSince Oct 20, 2014 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients

Locations

8329 SW Beaverton Hillsdale Hwy
#2
Portland, OR 97225
Phone (503) 413-3303

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

8329 SW Beaverton Hillsdale Hwy
Portland, OR 97225
Phone (503) 414-5160

2222 NW Lovejoy St
Ste 315
Portland, OR 97210
Phone (503) 226-6321

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

6485 SW Borland Rd
Ste F
Tualatin, OR 97062
Phone (503) 413-3650

Interoperability endpoints

  • Direct secure messaging: wsiu89930@direct.lhs.org

Organizations & group practices 5

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 8

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": "1276992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275854671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8329 SW BEAVERTON HILLSDALE HWY",
            "address_2": "BLDG 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-414-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8329 SW BEAVERTON HILLSDALE HWY BLDG 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252215",
            "telephone_number": "503-414-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 NW Lovejoy St Ste 315",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972105101",
            "country_code": "US",
            "telephone_number": "503-413-8018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIU",
        "first_name": "WAI MAN",
        "middle_name": "BELINDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD168402",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OR",
            "license": "MD168402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.