Active NPI
Avishai Meyer, MD
- Surgery Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- TEP 6124
- Practice address
- 1040 NW 22ND Ave
Ste 500
Portland, OR 97210-3057 - Phone
- (503) 227-5050
- Fax
- (503) 227-2462
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | TEP 6124 | NE | Primary |
Addresses
Primary practice location
1040 NW 22ND Ave
Ste 500
Portland, OR 97210-3057
Mailing address
1040 NW 22ND Ave
Ste 500
Portland, OR 97210-3057
Phone (503) 227-5050
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ameyer669368@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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711
1015 Nw22Nd Ave
Suite 34
Portland, OR 97210-3025
Phone (503) 413-6376
1040 NW 22ND Ave
Portland, OR 97210-3097
1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988
1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074
Hospital & facility affiliations
- Legacy Good Samaritan Medical Center
- Columbia Memorial Hospital
- Adventist Health Tillamook
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.34 of 100
- Quality
- 92.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.53
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEP 6124 | NE | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Emma J Patterson MD PC | Surgery | Current | Accepting new patients |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Past | Accepting new patients |
Locations
25050 SE Stark St
Ste 265
Gresham, OR 97030
Phone (503) 413-2005
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1040 NW 22nd Ave
Ste 520
Portland, OR 97210
Phone (503) 413-7557
1130 NW 22nd Ave
Ste 500
Portland, OR 97210
Phone (503) 229-7339
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
825 NE 20th Ave
Ste 340
Portland, OR 97232
Phone (503) 227-5050
1040 NW 22nd Ave
Ste 500
Portland, OR 97210
Phone (503) 227-5050
1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074
727 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
Interoperability endpoints
- ameyer142989@direct.lhs.org
Organizations & group practices 9
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
-
- Surgery Physician
- Portland, OR
- NPI 1902795917
-
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
-
- Rural Health Clinic/Center
- Warrenton, OR
- NPI 1972039170
-
- Psychiatric Hospital Unit
- Portland, OR
- NPI 1336162874
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Astoria, OR
- NPI 1134146939
-
- Critical Access Hospital
- Astoria, OR
- NPI 1700809761
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1699146159
-
- Rural Health Clinic/Center
- Tillamook, OR
- NPI 1841451853
Hospital
-
- Critical Access Hospital
- Tillamook, OR
- NPI 1871575225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1750437364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 NW 22ND AVE",
"address_2": "STE 500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103057",
"telephone_number": "503-227-5050",
"fax_number": "503-227-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 NW 22ND AVE",
"address_2": "STE 500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103057",
"telephone_number": "503-227-5050",
"fax_number": "503-227-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "AVISHAI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "TEP 6124",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ameyer669368@oc.providencedirect.org",
"affiliation": "N",
"address_1": "727 S Wahanna Rd",
"city": "Seaside",
"state": "OR",
"country_code": "US",
"postal_code": "971387735",
"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 Oct 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.