NPIMap

Individual provider Active NPI

Daniel Gradin, M.D.

  • Ophthalmology Physician
  • Longview, WA
National Provider Identifier
1275859399
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60151712 Issued in WA
Practice address
600 Triangle Ctr
Suite 400
Longview, WA 98632-4667
Phone
(360) 423-0220
Fax
(360) 423-0697
NPI assigned
Apr 14, 2010
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD60151712 WA Primary
Ophthalmology Physician 207W00000X 32843-020 WI
Ophthalmology Physician 207W00000X MD150509 OR

Addresses

Primary practice location

600 Triangle Ctr
Suite 400
Longview, WA 98632-4667

Mailing address

600 Triangle Ctr
Suite 400
Longview, WA 98632-4667
Phone (360) 423-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260626004226 MI Practitioner - Ophthalmology 9739372384

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oregon Health Sciences University School of Medicine, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4266 Juneberry St
Galesburg, MI 49053-7735

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32843-020WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Aug 1, 2010 Accepting new patients
University Professional Services Current Accepting new patients
University Professional Services Ophthalmology Current Accepting new patients
University Professional Services CurrentSince Aug 1, 2010 Accepting new patients
University Professional Services Ophthalmology CurrentSince Aug 1, 2010 Accepting new patients
Eyecare Associates PC Ophthalmology PastSince Apr 7, 2021 Accepting new patients
University Professional Services Past Accepting new patients
The Eye Clinic PC Ophthalmology PastSince Nov 1, 2020 Accepting new patients

Locations

2715 Willetta St SW
#B
Albany, OR 97321
Phone (541) 926-5848

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

312 SE Stonemill Dr
Ste 150
Vancouver, WA 98684
Phone (360) 254-2323

Interoperability endpoints

  • Direct secure messaging: dgradinmd75018@direct.ohsu.edu

Organizations & group practices 8

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 3

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1275859399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TRIANGLE CTR",
            "address_2": "SUITE 400",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324667",
            "telephone_number": "360-423-0220",
            "fax_number": "360-423-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TRIANGLE CTR",
            "address_2": "SUITE 400",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324667",
            "telephone_number": "360-423-0220",
            "fax_number": "360-423-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADIN",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60151712",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "32843-020",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD150509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.