NPIMap

Individual provider Active NPI

Tyler Marcus Andrea, DO

  • Nephrology Physician
  • Corvallis, OR
National Provider Identifier
1295183291
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO212958 Issued in OR
Practice address
3615 NW Samaritan Dr Ste 203
Corvallis, OR 97330-3771
Phone
(541) 768-6930
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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 DO212958 OR
Nephrology Physician 207RN0300X OS021030 PA
Nephrology Physician 207RN0300X DO212958 OR Primary

Addresses

Primary practice location

3615 NW Samaritan Dr Ste 203
Corvallis, OR 97330-3771

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-3319

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tandrea243792@samhealth.direct-ci.com

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
I20221006002146 OR Practitioner - Internal Medicine 3072805316 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO212958ORMDNephrology Physician
OS021030PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare Inc CurrentSince Oct 17, 2022 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Oct 17, 2022 Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Oct 17, 2022 Accepting new patients
Allegheny Clinic Nephrology CurrentSince Feb 1, 2022 Accepting new patients
Good Samaritan Hospital Corvallis Internal Medicine CurrentSince Oct 17, 2022 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Albany General Hospital CurrentSince Oct 17, 2022 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Oct 17, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc Nephrology CurrentSince Oct 17, 2022 Accepting new patients
Allegheny Clinic Current Accepting new patients
Albany General Hospital Current Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Oct 17, 2022 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Albany General Hospital CurrentSince Oct 17, 2022 Accepting new patients
Allegheny Clinic CurrentSince Feb 1, 2022 Accepting new patients
Allegheny Clinic Past Accepting new patients
Teredesai McCann & Associates PC Past Accepting new patients
Montefiore Medical Center Internal Medicine PastSince Jun 1, 2021 Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

3615 NW Samaritan Dr
Ste 203
Corvallis, OR 97330
Phone (541) 768-6930

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

1136 Thorn Run Rd
Ste J1
Moon Township, PA 15108
Phone (412) 269-2304

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Organizations & group practices 42

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.

View all 42

Hospital & facility affiliations 75

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

View all 75

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Col of Osteo Med of the Pacific at Lebanon, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Valley Healthcare Inc 143 clinicians
Good Samaritan Hospital Corvallis 372 clinicians
Samaritan Pacific Health Services Inc 86 clinicians
Albany General Hospital 191 clinicians

Practice addresses (Care Compare)

100 Mullins Dr
Lebanon, OR 97355-2868

325 Park St
Lebanon, OR 97355-4229
Phone (541) 451-7200

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

3615 NW Samaritan Dr
Corvallis, OR 97330-3771

531 N Hwy 101
Depoe Bay, OR 97341-9572
Phone (541) 765-3265

631 Elm St SW
Albany, OR 97321-1952

705 Elm St SW
Suite 200
Albany, OR 97321-1957
Phone (541) 812-4850

Hospital & facility affiliations

  • Qualicenters - Albany LTD Dialysis facility, Albany, OR, CCN 382507
  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022
  • Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314
  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302
  • Samaritan Lebanon Community Hospital Hospital, Lebanon, OR, CCN 381323

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
85.78
Promoting interoperability
100
Improvement activities
40
Cost
78.31

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
80.9

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1295183291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 NW SAMARITAN DR STE 203",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303771",
            "telephone_number": "541-768-6930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152124756",
            "country_code": "US",
            "telephone_number": "412-359-3319",
            "fax_number": "412-359-4136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREA",
        "first_name": "TYLER",
        "middle_name": "MARCUS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO212958",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "OS021030",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "DO212958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tandrea243792@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3615 NW Samaritan Dr Ste 203",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.