Active NPI
Amy Chu Tsai, M.D.
- Pediatric Gastroenterology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- MD189354
- Practice address
- 9427 SW Barnes Rd Ste 395
Portland, OR 97225-6652 - Phone
- (503) 216-6050
- NPI assigned
- May 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 61371 | MN | |
| Pediatric Gastroenterology Physician | 2080P0206X | A102647 | CA | |
| Pediatric Gastroenterology Physician | 2080P0206X | MD.60211358 | WA | |
| Pediatric Gastroenterology Physician | 2080P0206X | MD189354 | OR | Primary |
Addresses
Primary practice location
9427 SW Barnes Rd Ste 395
Portland, OR 97225-6652
Mailing address
PO Box 3158
Portland, OR 97208-3158
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | atsai1004816@oc.providencedirect.org | ||
| Direct Messaging Address | atsai1004816@oc.providencedirect.org |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61371 | MN | MD | Pediatric Gastroenterology Physician |
| MD.60211358 | WA | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients |
Locations
9290 SE Sunnybrook Blvd
Ste 120
Clackamas, OR 97015
Phone (503) 215-2110
1510 Division St
Ste 100
Oregon City, OR 97045
Phone (503) 216-6050
9427 SW Barnes Rd
Ste 395
Portland, OR 97225
Phone (503) 216-2602
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
Organizations & group practices 6
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 Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Cognitive & Behavioral Psychologist
- Portland, OR
- NPI 1679697247
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Internal Medicine Physician
- Sherwood, OR
- NPI 1184729329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1588831713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9427 SW BARNES RD STE 395",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256652",
"telephone_number": "503-216-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSAI",
"first_name": "AMY",
"middle_name": "CHU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MN",
"license": "61371",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "CA",
"license": "A102647",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "WA",
"license": "MD.60211358",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "OR",
"license": "MD189354",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "atsai1004816@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9427 SW Barnes Rd Ste 395",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972256652",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "atsai1004816@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9290 SE Sunnybrook Blvd Ste 120",
"city": "Clackamas",
"state": "OR",
"country_code": "US",
"postal_code": "970156802",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 25, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.