Individual provider Active NPI

Yara D Nazzal, MD

  • Neurology Physician
  • Tualatin, OR
National Provider Identifier
1477845584
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD215253 Issued in OR
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

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1477845584MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
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, IN11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20151019001180 MO Practitioner - Neurology 3173832995 Reassigns benefits to 3 organizations
I20190625002033 WI Practitioner - Neurology 3173832995 Reassigns benefits to 1 organization
I20190717003018 OH Practitioner - Neurology 3173832995 Reassigns benefits to 2 organizations
I20210816002340 NE Practitioner - Neurology 3173832995 Reassigns benefits to 1 organization
I20211118001209 MN Practitioner - NeurologyPractitioner - Hospitalist 3173832995
I20230426002051 CA Practitioner - Neurology 3173832995 Reassigns benefits to 3 organizations
I20230721001380 WA Practitioner - Neurology 3173832995 Reassigns benefits to 1 organization
I20230721001493 OR Practitioner - Neurology 3173832995 Reassigns benefits to 2 organizations
I20231108002595 TX Practitioner - Neurology 3173832995 Reassigns benefits to 1 organization
I20240229002623 NJ Practitioner - NeurologyPractitioner - Internal Medicine 3173832995 Reassigns benefits to 1 organization
I20250918000599 IN Practitioner - Neurology 3173832995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunterdon Specialty CareGroup PAC ID 4587966601, 94 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

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 Hospital, Flemington, NJ, CCN 310005
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015029486MOMDNeurology Physician
38049OKMDNeurology Physician
T9019TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Single Specialty CurrentSince Jun 11, 2019 Accepting new patients
The Metrohealth System CurrentSince Jul 2, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 5, 2023 Accepting new patients
Hunterdon Specialty Care PC Single Specialty CurrentSince Jan 23, 2024 Accepting new patients
The Metrohealth System Single Specialty CurrentSince Jul 2, 2020 Accepting new patients
Mercy Clinic Springfield Communities Single Specialty CurrentSince Jun 25, 2020 Accepting new patients
County of Santa Clara CurrentSince Apr 6, 2023 Accepting new patients
Deaconess Hospital Inc CurrentSince Aug 20, 2025 Accepting new patients
Fairview Heights Medical Group SC Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Somc Medical Care Foundation, Inc. Single Specialty CurrentSince Jun 11, 2019 Accepting new patients
County of Santa Clara Single Specialty CurrentSince Apr 6, 2023 Accepting new patients
County of Santa Clara Single Specialty Current Accepting new patients
County of Santa Clara Single Specialty CurrentSince Apr 6, 2023 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Single Specialty CurrentSince Jun 19, 2019 Accepting new patients
County of Santa Clara Single Specialty Current Accepting new patients
Hunterdon Specialty Care CurrentSince Jan 23, 2024 Accepting new patients
County of Santa Clara CurrentSince Apr 6, 2023 Accepting new patients
Regional West Physicians Clinic Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 5, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 5, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 20, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Single Specialty Current Accepting new patients
Christus Trinity Clinic Texas Single Specialty CurrentSince Nov 20, 2023 Accepting new patients
Deaconess Hospital, Inc Single Specialty CurrentSince Aug 20, 2025 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Jul 1, 2023 Accepting new patients
Legacy Clinics LLC Single Specialty CurrentSince Aug 25, 2023 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

  • Direct secure messaging: yara.nazzal.p116@direct.hunterdon.nextgenshare.com
  • Direct secure messaging: ynazzal264216@direct.leememorial.org
  • Direct secure messaging: ynazzal191295@santaclaravalley.direct-ci.net
  • Direct secure messaging: yara.nazzal@somc.medicity.net
  • Direct secure messaging: 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.

View all 30

Hospital & facility affiliations 6

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.

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        "middle_name": "D",
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            "license": "38049",
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    "endpoints": [
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            "endpointTypeDescription": "Direct Messaging Address",
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            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
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            "city": "Springfield",
            "state": "IL",
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            "country_name": "United States",
            "address_type": "DOM"
        },
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            "affiliation": "N",
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            "use": "HIE",
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    ],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.