Andrew Thomas Gentile, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD17175 Issued in OR

Practice address

9200 SE 91St Avenue
Happy Valley, OR 97086

Phone

(971) 801-1373

Fax

(971) 801-1401

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Vascular SurgeryAlso: General Surgery

Education

Creighton University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PNW Management GroupGroup PAC ID 3072929884, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• PNW Management Group

  • Vascular & Interventional Radiology Physician
  • Portland, OR
  • NPI 1588283154
  Medicare reassignment Care Compare group NPD
• Inovia LLC

  • Vascular Surgery Physician
  • Bend, OR
  • NPI 1376753442
  Medicare reassignment NPD
• Northwest Hospital LLC

  • Emergency Medicine Physician
  • Tucson, AZ
  • NPI 1477636108
  NPD (past)
• Tucson Vascular Surgery

  • Vascular Surgery Physician
  • Tucson, AZ
  • NPI 1568592558
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1396859633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVENUE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "971-801-1373",
            "fax_number": "971-801-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVENUE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "971-801-1373",
            "fax_number": "971-801-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6958 SW Varns Street",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972239722",
            "country_code": "US",
            "telephone_number": "503-683-7730",
            "fax_number": "503-914-0927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "MD00044792",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD17175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karson Gallagher, MSW
• Andrew Curtis Gandert, FNP-C
• Mary Garanovskiy, BCBA
• Gebi Dakebo Genemo, RN
• Generations Home Health Agency
• Gentle Hands Treatment Home LLC
• Karen Ghatore, DDS
• Gibbons Physical Therapy
• Sally J Gildehaus, PSYD
• Ruthaitip Hongyim Glaser

• Vascular Surgery Physician in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Vascular Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.