NPIMap

Individual provider Active NPI

Judith A Nigro, DO

  • Cardiovascular Disease Physician
  • Portland, OR
National Provider Identifier
1760566368
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DO25918 Issued in OR
Practice address
1200 NW Naito Pkwy
Ste. 200
Portland, OR 97209-2830
Phone
(503) 943-2340
Fax
(503) 248-4733
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 DO25918 OR
Cardiovascular Disease Physician 207RC0000X DO25918 OR Primary

Addresses

Primary practice location

1200 NW Naito Pkwy
Ste. 200
Portland, OR 97209-2830

Mailing address

24900 SE Stark St
Ste. 103
Gresham, OR 97030-3355
Phone (503) 907-1101

Other identifiers 1

IdentifierTypeStateIssuer
240379MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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
I20070126000242 OR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7416955935 Reassigns benefits to 5 organizations
I20130617000739 WA Practitioner - Internal Medicine 7416955935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians
Legacy Mount Hood Medical CenterGroup PAC ID 3173515996, 58 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711

1130 NW 22ND Ave
Suite 400
Portland, OR 97210-2971
Phone (503) 413-6722

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 661-9150

25050 SE Stark St
Suite 265
Gresham, OR 97030-3388
Phone (503) 674-2044

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-8258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO25918ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Jun 15, 2013 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Aug 14, 2011 Accepting new patients
Legacy Salmon Creek Hospital Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jan 23, 2018 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Sep 8, 2011 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Apr 29, 2012 Accepting new patients
Legacy Clinics LLC CurrentSince Jan 23, 2018 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Jan 23, 2018 Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Jan 23, 2018 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Aug 14, 2011 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Sep 8, 2011 Accepting new patients
The Oregon Clinic PC Internal Medicine Past Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients

Locations

24900 SE Stark St
Ste 103
Gresham, OR 97030
Phone (503) 665-4278

25050 SE Stark St
Ste 265
Gresham, OR 97030
Phone (503) 413-2005

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

24900 SE Stark St
Ste 109
Gresham, OR 97030
Phone (503) 667-1015

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

2222 NW Lovejoy St
Ste 606
Portland, OR 97210
Phone (503) 229-7554

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

1040 NW 22nd Ave
Ste 630
Portland, OR 97210
Phone (503) 796-2743

500 N Highway
Saint Helens, OR 97051
Phone (503) 229-7554

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 9

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1760566368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24900 SE STARK ST",
            "address_2": "STE. 103",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303355",
            "telephone_number": "503-907-1101",
            "fax_number": "503-907-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW NAITO PKWY",
            "address_2": "STE. 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092830",
            "telephone_number": "503-943-2340",
            "fax_number": "503-248-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGRO",
        "first_name": "JUDITH",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO25918",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "DO25918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240379",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.