NPIMap

Individual provider Active NPI

Indira M Yerman

  • Family Medicine Physician
  • Cornelius, OR
National Provider Identifier
1417781758
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA222181 Issued in OR
Practice address
1151 N Adair St
Cornelius, OR 97113-8900
Phone
(503) 359-5564
NPI assigned
Aug 29, 2024
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA222181 OR Primary

Addresses

Primary practice location

1151 N Adair St
Cornelius, OR 97113-8900

Mailing address

5301 Harrison Rd
Paradise, CA 95969-6691
Phone (530) 801-1374

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
I20241114003456 OR Practitioner - Physician Assistant 9032643937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1151 N Adair St
Cornelius, OR 97113-8900
Phone (503) 359-5564

2725 SW Cedar Hills Blvd
Suite 200
Beaverton, OR 97005-1435
Phone (503) 352-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA222181ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Garcia Memorial Health Center Past Accepting new patients

Organizations & group practices 1

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 12

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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1417781758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 HARRISON RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959696691",
            "telephone_number": "530-801-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N ADAIR ST",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971138900",
            "telephone_number": "503-359-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERMAN",
        "first_name": "INDIRA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "PA222181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, OR

Sources for this page

Verify at the official NPI Registry.