Individual provider Active NPI

Magdalene Gyuricska, MD

  • Family Medicine Physician
  • Happy Valley, OR
National Provider Identifier
1780067660
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD185697 Issued in OR
Practice address
16144 SE Happy Valley Town Center Dr Ste 101
Happy Valley, OR 97086-4257
Phone
(503) 659-4988
Fax
(503) 698-4018
NPI assigned
Jul 9, 2015
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301108416 MI
Family Medicine Physician 207Q00000X MD185697 OR Primary

Addresses

Primary practice location

16144 SE Happy Valley Town Center Dr Ste 101
Happy Valley, OR 97086-4257

Mailing address

PO Box 22075
Milwaukie, OR 97269-2075
Phone (503) 659-4988

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
I20180925000983 OR Practitioner - Family Practice 9931418126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Primary Care Group PCGroup PAC ID 0244125052, 44 clinicians

Practice addresses (Care Compare)

16144 SE Happy Valley Ctr Dr
BLDG H Suite 101
Happy Valley, OR 97086
Phone (503) 353-1272

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD185697ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Primary Care Group PC Family Medicine Current Accepting new patients
Northwest Primary Care Group, PC Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
McLaren Flint Past Accepting new patients
Northwest Primary Care Group PC Family Medicine Past Accepting new patients

Locations

16144 SE Happy Vly Twn Center Dr
Ste 101
Happy Valley, OR 97086
Phone (503) 353-1272

3033 SE Monroe St
Portland, OR 97222
Phone (503) 216-5380

Interoperability endpoints

  • Direct secure messaging: magdalene.gyuricska.1@30939.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1780067660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22075",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972692075",
            "telephone_number": "503-659-4988",
            "fax_number": "503-698-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16144 SE HAPPY VALLEY TOWN CENTER DR STE 101",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864257",
            "telephone_number": "503-659-4988",
            "fax_number": "503-698-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYURICSKA",
        "first_name": "MAGDALENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301108416",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD185697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

Verify at the official NPI Registry.