NPIMap

Individual provider Active NPI

Manda E Lai, MD

  • Anesthesiology Physician
  • Portland, OR
National Provider Identifier
1568755031
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD208334 Issued in OR
Practice address
10123 SE Market St
Portland, OR 97216-2532
Phone
(503) 257-2500
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 60547889 WA
Anesthesiology Physician 207L00000X MD208334 OR Primary

Addresses

Primary practice location

10123 SE Market St
Portland, OR 97216-2532

Mailing address

1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150918001433 WA Practitioner - Anesthesiology 2961719240 Reassigns benefits to 1 organization
I20220621002875 OR Practitioner - Anesthesiology 2961719240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

10123 SE Market St
Portland, OR 97216-2532
Phone (503) 257-2500

890 Oak St SE
Suite 4000
Salem, OR 97301-3905
Phone (503) 814-4048

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
84.7
Promoting interoperability
100
Improvement activities
40
Cost
79.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60547889WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health Current Accepting new patients
Grays Harbor Community Hospital CurrentSince Jun 1, 2021 Accepting new patients
Grays Harbor House Hospitalist CurrentSince Jun 1, 2021 Accepting new patients
Matrix Anesthesia, PS Anesthesiology CurrentSince Feb 1, 2020 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Salem Health CurrentSince Apr 7, 2022 Accepting new patients
Portland Adventist Medical Center CurrentSince Jan 31, 2024 Accepting new patients
Portland Adventist Medical Center Anesthesiology CurrentSince Jan 31, 2024 Accepting new patients
Oregon Anesthesiology Group PC Anesthesiology CurrentSince Apr 23, 2023 Accepting new patients
Salem Health CurrentSince Apr 7, 2022 Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

707 SW Washington St
Ste 700
Portland, OR 97205

890 Oak St SE
Ste 4000
Salem, OR 97301
Phone (503) 814-4048

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

12040 NE 128th St
Ste Blue
Kirkland, WA 98034

Interoperability endpoints

  • Direct secure messaging: mlai162484@direct.ohsu.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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.

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1568755031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SW 5TH AVE STE 500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 SE MARKET ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162532",
            "telephone_number": "503-257-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "MANDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "60547889",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD208334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.