Individual provider Active NPI

Alexander Chan Yu, MD, PHD

  • Allergy & Immunology Physician
  • Beaverton, OR
National Provider Identifier
1760614283
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD159961 Issued in OR
Practice address
5040 SW Griffith Dr Ste 201
Beaverton, OR 97005-8721
Phone
(503) 486-4481
Fax
(570) 243-0932
NPI assigned
Aug 17, 2009
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD159961 OR Primary

Addresses

Primary practice location

5040 SW Griffith Dr Ste 201
Beaverton, OR 97005-8721

Mailing address

PO Box 10562
Portland, OR 97296-0562

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-4300

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121231000140 OR Practitioner - Allergy/Immunology 8426201351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5040 SW Griffith Dr
Suite 201
Beaverton, OR 97005-8721
Phone (503) 486-4481

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miranda McCormack, M.D., LLC CurrentSince Mar 2, 2021 Accepting new patients
University Professional Services CurrentSince Oct 1, 2024 Accepting new patients
University Professional Services CurrentSince Oct 1, 2024 Accepting new patients
Pacific Allergy LLC Allergy & Immunology CurrentSince Mar 2, 2021 Accepting new patients
Know Allergy LLC PastSince Nov 15, 2020 Accepting new patients
West Hills Allergy and Asthma Associates LLC PastSince Dec 6, 2020 Accepting new patients
Clackamas Dermatology PC Past Accepting new patients

Locations

14631 SW Millikan Way
Ste 60
Beaverton, OR 97003

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

5040 SW Griffith Dr
Ste 201
Beaverton, OR 97005
Phone (503) 486-4481

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

101 E 3rd St
The Dalles, OR 97058
Phone (503) 245-8060

9370 SW Greenburg Rd
Ste 311
Tigard, OR 97223
Phone (503) 245-8060

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1760614283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10562",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972960562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 SW GRIFFITH DR STE 201",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970058721",
            "telephone_number": "503-486-4481",
            "fax_number": "570-243-0932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-4300",
            "fax_number": "503-494-4323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "ALEXANDER",
        "middle_name": "CHAN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OR",
            "license": "MD159961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.