Individual provider Active NPI

Michael S Mega, MD, PHD

  • Neurology Physician
  • Portland, OR
National Provider Identifier
1437186038
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD18185 Issued in OR
Practice address
10200 SW Eastridge St
Ste 105
Portland, OR 97225-5031
Phone
(503) 207-2066
Fax
(503) 548-4981
NPI assigned
Jun 27, 2006
Last updated
Oct 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD18185 OR Primary

Addresses

Primary practice location

10200 SW Eastridge St
Ste 105
Portland, OR 97225-5031

Mailing address

10200 SW Eastridge St
Ste 105
Portland, OR 97225-5031
Phone (503) 207-2066

Other identifiers 2

IdentifierTypeStateIssuer
232463MedicaidOR
P00461865OtherORRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 3, 2016 through May 3, 2028

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1437186038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 SW EASTRIDGE ST",
            "address_2": "STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255031",
            "telephone_number": "503-207-2066",
            "fax_number": "503-548-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 SW EASTRIDGE ST",
            "address_2": "STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255031",
            "telephone_number": "503-207-2066",
            "fax_number": "503-548-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGA",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD18185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232463",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00461865",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.