Active NPI
Mercy Gate Medical, P.C.
- Internal Medicine Physician
- Beaverton, OR
National Provider Identifier
1619769593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MERCY GATE MEDICAL, P.C.
- Practice address
- 12050 SW Champlin LN
Beaverton, OR 97007-8600 - Phone
- (541) 908-2316
- NPI assigned
- May 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aly Mohamed, MD
- Title
- Ceo
- Phone
- (541) 908-2316
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
12050 SW Champlin LN
Beaverton, OR 97007-8600
Mailing address
401 NE 19TH Ave Ste 200
Portland, OR 97232-4800
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1619769593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 NE 19TH AVE STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972324800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12050 SW CHAMPLIN LN",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970078600",
"telephone_number": "541-908-2316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY GATE MEDICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "ALY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "541-908-2316",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.