Myo Sabai Aye, M.D.
Individual provider Active NPI Pediatrics Physician · Corvallis, OR
NPI 1770979130 · NPPES record last updated Jun 20, 2023
Key facts
- NPI
- 1770979130
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD214696 (OR)
- Practice address
- 3600 NW Samaritan Dr
Corvallis, OR 97330-5472 - Phone
- (541) 757-5111
- NPI assigned
- Apr 13, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201117000060 | MD | Practitioner - Pediatric Medicine | 4688955818 | Reassigns benefits to 1 organization |
| I20230515001574 | OR | Practitioner - Pediatric Medicine | 4688955818 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0090246 | MD | MD | Pediatrics Physician |
| 4301107809 | MI | MD | Pediatrics Physician |
| MD214696 | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MGMC, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current |
Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current |
Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients |
Locations
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
Interoperability endpoints
- maye261470@samhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | D0090246 | MD | |
| Pediatrics Physician | 208000000X | 4301107809 | MI | |
| Pediatrics Physician | 208000000X | MD214696 | OR | Yes |
| Pediatrics Physician | 208000000X | D0090246 | MD |
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
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (313) 874-4691
Other practice location 2
3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-1892
Other names
- Dr. Myo Sabai Aye
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | maye261470@samhealth.direct-ci.com |
Other providers in Corvallis, OR
- Austin Robert Aviles
- Aaron P Avon
- Mohan Avula
- Awakened Heart LLC
- Stephanie Anne Axman
- Leela Ayres
- Nesreen Aysheh
- Laila Josephine Ayyoub
- Emily Etheram Azadnia
- Gulrez Shah Azhar
All providers in Corvallis, OR · Pediatrics Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.