Active NPI
Alvin K Nakamura, M.D.
- Obstetrics & Gynecology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD17656
- Practice address
- 10000 SE Main St
Suite 248
Portland, OR 97216-2448 - Phone
- (503) 257-7757
- Fax
- (503) 257-6703
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD17656 | OR | Primary |
Addresses
Primary practice location
10000 SE Main St
Suite 248
Portland, OR 97216-2448
Mailing address
10000 SE Main St
Suite 248
Portland, OR 97216-2448
Phone (503) 257-7757
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044995 | Medicaid | OR | |
| R00WFBCLC | Other | OR | PTAN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Loma Linda University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid-Columbia Medical Center
Practice addresses (Care Compare)
10000 SE Main St
Suite 248
Portland, OR 97216-2469
Phone (503) 257-7757
1810 E 19TH St
The Dalles, OR 97058-3388
Hospital & facility affiliations
- Adventist Health Portland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17656 | OR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgetown Medical Group P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Bridgetown Medical Group P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Mid-Columbia Medical Center | Past | Accepting new patients |
Locations
10000 SE Main St
Ste 248
Portland, OR 97216
Phone (503) 257-7757
Interoperability endpoints
- bridgetownwomenscare.alvinnakamura@137210.advancedmd-direct.com
- anakamura154678@direct.ohsu.edu
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Portland, OR
- NPI 1396177937
-
- Multi-Specialty Clinic/Center
- The Dalles, OR
- NPI 1992094817
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1528029345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 SE MAIN ST",
"address_2": "SUITE 248",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162448",
"telephone_number": "503-257-7757",
"fax_number": "503-257-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 SE MAIN ST",
"address_2": "SUITE 248",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162448",
"telephone_number": "503-257-7757",
"fax_number": "503-257-6703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMURA",
"first_name": "ALVIN",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD17656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044995",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "R00WFBCLC",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.