Individual provider Active NPI

Toshio Nagamoto, M.D.

  • Surgery Physician
  • Corvallis, OR
National Provider Identifier
1396789681
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD19283 Issued in OR
Practice address
3615 NW Samaritan Dr
Suite 201
Corvallis, OR 97330-3783
Phone
(541) 768-5930
NPI assigned
Jun 16, 2006
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD19283 OR Primary

Addresses

Primary practice location

3615 NW Samaritan Dr
Suite 201
Corvallis, OR 97330-3783

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnagamoto6605@samhealth.direct-ci.com

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
I20040827000428 OR Practitioner - General SurgeryPractitioner - General Practice 3173598760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Creighton University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Vein Restoration Or LLCGroup PAC ID 1355824913, 13 clinicians
Inovia LLCGroup PAC ID 2860592854, 15 clinicians

Practice addresses (Care Compare)

911 NW 18TH Ave
Portland, OR 97209-2324
Phone (855) 830-8346

Hospital & facility affiliations

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
85.76 of 100Reported as group
Quality
88.93
Promoting interoperability
93
Improvement activities
40
Cost
69.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal269

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inovia LLC CurrentSince Sep 1, 2023 Accepting new patients
Good Samaritan Hospital Corvallis Past Accepting new patients
Firstcare Medical Foundation Surgery PastSince Sep 1, 2004 Accepting new patients

Locations

1700 NW 167th Pl
Ste 245
Beaverton, OR 97006
Phone (503) 447-4125

2200 NE Neff Rd
Ste 204
Bend, OR 97701
Phone (541) 382-8346

911 NW 18th Ave
Portland, OR 97209
Phone (503) 227-3666

9200 SE 91st Ave
Ste 200
Portland, OR 97086
Phone (503) 233-5548

7421 SW Bridgeport Rd
Ste 215
Tigard, OR 97224
Phone (503) 620-2400

Interoperability endpoints

  • Direct secure messaging: toshio.nagamoto@ivsc.eclinicaldirectplus.com

Organizations & group practices 4

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 2

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1396789681",
    "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",
            "address_2": "SUITE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303783",
            "telephone_number": "541-768-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGAMOTO",
        "first_name": "TOSHIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD19283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnagamoto6605@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3615 NW Samaritan Dr",
            "address_2": "Suite 201",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.