Active NPI
Gulrukh Rizvi, MD
- Family Medicine Physician
- Eugene, OR
National Provider Identifier
1568658193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD150097
- Practice address
- 1161 Lincoln St
Eugene, OR 97401-3417 - Phone
- (541) 972-3627
- Fax
- (877) 992-4905
- NPI assigned
- Sep 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD150097 | OR | Primary |
Addresses
Primary practice location
1161 Lincoln St
Eugene, OR 97401-3417
Mailing address
1161 Lincoln St
Eugene, OR 97401-3417
Phone (541) 972-3627
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
- Opted out of Medicare
- Yes, effective Jun 15, 2017 through Jun 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD150097 | OR | MD | Family Medicine Physician |
Interoperability endpoints
- gulrukh.rizvi.p1@direct.whitebirdclinic.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1568658193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 LINCOLN ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013417",
"telephone_number": "541-972-3627",
"fax_number": "877-992-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 LINCOLN ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013417",
"telephone_number": "541-972-3627",
"fax_number": "877-992-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZVI",
"first_name": "GULRUKH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD150097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.