NPIMap

Individual provider Active NPI

Paolo Pilar Gabriel, M.D.

  • Cardiovascular Disease Physician
  • Portland, OR
National Provider Identifier
1760771463
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD193868 Issued in OR
Practice address
1111 NE 99TH Ave Ste 201
Portland, OR 97220-9442
Phone
(503) 962-1000
Fax
(503) 962-1005
NPI assigned
Apr 4, 2011
Last updated
Nov 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD60754847 WA
Cardiovascular Disease Physician 207RC0000X MD193868 OR Primary

Addresses

Primary practice location

1111 NE 99TH Ave Ste 201
Portland, OR 97220-9442

Mailing address

1111 NE 99TH Ave Ste 201
Portland, OR 97220-9442
Phone (503) 962-1000

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
I20190626004127 OR Practitioner - Cardiovascular Disease (Cardiology) 3476794751 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Aug 26, 2019 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 10, 2019 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 10, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 28, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 1, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 28, 2019 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2019 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 6, 2019 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients

Locations

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

1111 NE 99th Ave
Ste 201
Portland, OR 97220
Phone (503) 962-1020

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

Interoperability endpoints

  • Direct secure messaging: pgabriel368567@oc.providencedirect.org

Organizations & group practices 12

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1760771463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 NE 99TH AVE STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209442",
            "telephone_number": "503-962-1000",
            "fax_number": "503-962-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 NE 99TH AVE STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209442",
            "telephone_number": "503-962-1000",
            "fax_number": "503-962-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "PAOLO",
        "middle_name": "PILAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD60754847",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD193868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.