NPIMap

Individual provider Active NPI

Abdulmetin Dursun, M.D.

  • Internal Medicine Physician
  • Corvallis, OR
National Provider Identifier
1679867071
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD171285 Issued in OR
Practice address
3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone
(541) 768-5111
NPI assigned
Jun 2, 2011
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD171285 OR Primary
Internal Medicine Physician 207R00000X 4301098725 MI

Addresses

Primary practice location

3600 NW Samaritan Dr
Corvallis, OR 97330-5472

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

1155 Mill St # W11
Reno, NV 89502-1576
Phone (775) 327-5174

Other practice location 2

1155 Mill St # W11
Reno, NV 89502-1576
Phone (775) 327-5174

Other practice location 3

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 882-6311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adursun266388@samhealth.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150831000841 OR Practitioner - Internal Medicine 6608195631 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McKenzie Physician Services LLCGroup PAC ID 1254307994, 48 clinicians
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Practice addresses (Care Compare)

1460 G St
Springfield, OR 97477-4112
Phone (541) 744-8613

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

3640 NW Samaritan Dr
Suite 210
Corvallis, OR 97330-3787
Phone (541) 768-5810

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098725MIMDInternal Medicine Physician
MD171285ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Aug 1, 2015 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jul 31, 2023 Accepting new patients
Albany General Hospital Current Accepting new patients
Albany General Hospital CurrentSince Oct 9, 2023 Accepting new patients
McKenzie Physician Services LLC CurrentSince Mar 6, 2024 Accepting new patients
Albany General Hospital CurrentSince Oct 9, 2023 Accepting new patients
Sound Physicians Intensivists of Washington PLLC CurrentSince Dec 25, 2023 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Aug 1, 2015 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Oct 9, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jul 31, 2023 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Oct 9, 2023 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
McKenzie-Willamette Regional Medical Center Associates LLC Past Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

960 N 16th St
Ste 100
Springfield, OR 97477
Phone (541) 744-6172

Interoperability endpoints

  • Direct secure messaging: adursun266388@samhealth.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 67

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 67

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1679867071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NW SAMARITAN DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305472",
            "telephone_number": "541-768-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Mill St # W11",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021576",
            "country_code": "US",
            "telephone_number": "775-327-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 Mill St # W11",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021576",
            "country_code": "US",
            "telephone_number": "775-327-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2865 Daggett Ave",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976011106",
            "country_code": "US",
            "telephone_number": "541-882-6311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURSUN",
        "first_name": "ABDULMETIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD171285",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301098725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adursun266388@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3600 NW Samaritan Dr",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973305472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.