Active NPI
Yara D Nazzal, MD
- Neurology Physician
- Tualatin, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD215253
- Practice address
- 19260 SW 65TH Ave Ste 280
Tualatin, OR 97062-5708 - Phone
- (503) 413-6166
- NPI assigned
- May 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 38049 | OK | |
| Hospitalist Physician | 208M00000X | T9019 | TX | |
| Neurology Physician | 2084N0400X | T9019 | TX | |
| Neurology Physician | 2084N0400X | 33054 | NE | |
| Neurology Physician | 2084N0400X | 2015029486 | MO | |
| Neurology Physician | 2084N0400X | 036152305 | IL | |
| Neurology Physician | 2084N0400X | MD215253 | OR | Primary |
| Neurology Physician | 2084N0400X | 04-42165 | KS |
Addresses
Primary practice location
19260 SW 65TH Ave Ste 280
Tualatin, OR 97062-5708
Mailing address
PO Box 3777
Portland, OR 97208-3777
Other practice location 1
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 885-6697
Other practice location 2
2900 1st Ave Ste 20
Huntington, WV 25702-1241
Phone (304) 525-2495
Other practice location 3
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 960-7690
Other practice location 4
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-1488
Other practice location 5
70 Jungermann Cir Ste 300
Saint Peters, MO 63376-1637
Phone (636) 916-7060
Other practice location 6
421 N 9th St
Springfield, IL 62702-5317
Phone (217) 757-6868
Other practice location 7
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-1488
Other practice location 8
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 960-7690
Other practice location 9
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 885-6697
Other practice location 10
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (816) 960-7690
Other practice location 11
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 885-6697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477845584 | Medicaid | MO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ynazzal223726@ewd.direct.hshs.org | Direct | |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, WI, OH, NE, MN, CA, WA, OR, TX, NJ, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 11
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6 Sand Hill Rd
Suite 202
Flemington, NJ 08822-4946
Phone (908) 237-4080
600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299
Hospital & facility affiliations
- Hunterdon Medical Center
- Deaconess Hospital Inc
- Anderson Hospital
- St Luke'S Warren Hospital
- Kessler Rehab Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015029486 | MO | MD | Neurology Physician |
| 38049 | OK | MD | Neurology Physician |
| T9019 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somc Medical Care Foundation, Inc. | Single Specialty | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Hunterdon Specialty Care PC | Single Specialty | Current | Accepting new patients |
| The Metrohealth System | Single Specialty | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Single Specialty | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Single Specialty | Current | Accepting new patients |
| Somc Medical Care Foundation, Inc. | Single Specialty | Current | Accepting new patients |
| County of Santa Clara | Single Specialty | Current | Accepting new patients |
| County of Santa Clara | Single Specialty | Current | Accepting new patients |
| County of Santa Clara | Single Specialty | Current | Accepting new patients |
| Ascension Medical Group-Southeast Wisconsin Inc | Single Specialty | Current | Accepting new patients |
| County of Santa Clara | Single Specialty | Current | Accepting new patients |
| Hunterdon Specialty Care | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Regional West Physicians Clinic | Single Specialty | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Single Specialty | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Single Specialty | Current | Accepting new patients |
| Deaconess Hospital, Inc | Single Specialty | Current | Accepting new patients |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Legacy Clinics LLC | Single Specialty | Current | Accepting new patients |
| St. John Physicians, Inc. | Single Specialty | Past | Accepting new patients |
| Hunterdon Specialty Care, PC | Past | Accepting new patients | |
| Regional West Physicians Clinic | Past | Accepting new patients |
Locations (25 of 41)
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
11155 Dunn Rd
Ste 109N
Saint Louis, MO 63136
Phone (314) 837-3784
70 Jungermann Cir
Ste 300
Saint Peters, MO 63376
Phone (636) 916-7060
3911 Avenue B
Ste 2300
Scottsbluff, NE 69361
Phone (308) 630-1055
3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355
3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355
1251 US Highway 22
Bridgewater, NJ 08807
Phone (908) 237-4108
9100 Wescott Dr
Ste 101
Flemington, NJ 08822
Phone (908) 237-6900
215 State Route 31
#116
Flemington, NJ 08822
6 Sand Hill Rd
Ste 202
Flemington, NJ 08822
Phone (908) 237-4080
2100 Wescott Dr
Flemington, NJ 08822
Phone (908) 237-5420
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942
Interoperability endpoints
- yara.nazzal.p116@direct.hunterdon.nextgenshare.com
- ynazzal264216@direct.leememorial.org
- ynazzal191295@santaclaravalley.direct-ci.net
- yara.nazzal@somc.medicity.net
- ynazzal340484@christushealth.direct-ci.net
Organizations & group practices 30
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.
-
- General Practice Physician
- Flemington, NJ
- NPI 1306216874
Single Specialty
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Single Specialty, WA
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
Single Specialty
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1679503668
Single Specialty
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1306910534
MO, Single Specialty
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
Single Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Flemington, NJ
- NPI 1922095116
-
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Phillipsburg, NJ
- NPI 1760488266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
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"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1477845584",
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"city": "PORTLAND",
"state": "OR",
"postal_code": "972083777"
},
{
"country_code": "US",
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"address_purpose": "LOCATION",
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"address_1": "19260 SW 65TH AVE STE 280",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970625708",
"telephone_number": "503-413-6166"
}
],
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},
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"state": "WV",
"postal_code": "257021241",
"country_code": "US",
"telephone_number": "304-525-2495",
"fax_number": "304-525-0764",
"country_name": "United States",
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},
{
"address_1": "100 NE Saint Lukes Blvd",
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"state": "MO",
"postal_code": "640866000",
"country_code": "US",
"telephone_number": "816-960-7690",
"fax_number": "816-960-7699",
"country_name": "United States",
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},
{
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"state": "TX",
"postal_code": "756015580",
"country_code": "US",
"telephone_number": "903-315-1488",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "70 Jungermann Cir Ste 300",
"address_purpose": "LOCATION",
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"state": "MO",
"postal_code": "633761637",
"country_code": "US",
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"country_name": "United States",
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},
{
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"country_code": "US",
"telephone_number": "217-757-6868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 E Marshall Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015580",
"country_code": "US",
"telephone_number": "903-315-1488",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4401 Wornall Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641113220",
"country_code": "US",
"telephone_number": "816-960-7690",
"country_name": "United States",
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},
{
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"postal_code": "48075",
"country_code": "US",
"telephone_number": "248-885-6697",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12300 Metcalf Ave",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662131324",
"country_code": "US",
"telephone_number": "816-960-7690",
"fax_number": "816-960-7699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16001 W 9 Mile Rd",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "48075",
"country_code": "US",
"telephone_number": "248-885-6697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAZZAL",
"first_name": "YARA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-07",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "38049",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "T9019",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "T9019",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NE",
"license": "33054",
"primary": false
},
{
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"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2015029486",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036152305",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "MD215253",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "04-42165",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477845584",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ynazzal223726@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "421 N 9th St",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627025317",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "70 Jungermann Cir Ste 300",
"city": "Saint Peters",
"state": "MO",
"country_code": "US",
"postal_code": "633761637",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.