Active NPI
Samuel S.M. Lau, M.D.
- Interventional Cardiology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD22165
- Practice address
- 1040 NW 22ND Ave Ste 660
Portland, OR 97210-3083 - Phone
- (503) 413-7162
- Fax
- (503) 413-7148
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD22165 | OR | |
| Cardiovascular Disease Physician | 207RC0000X | MD22165 | OR | |
| Interventional Cardiology Physician | 207RI0011X | MD22165 | OR | Primary |
Addresses
Primary practice location
1040 NW 22ND Ave Ste 660
Portland, OR 97210-3083
Mailing address
PO Box 3808
Portland, OR 97208-3808
Phone (503) 413-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130272 | Medicaid | OR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031112000210 | OR | Practitioner - Cardiovascular Disease (Cardiology) | 9931012226 | Reassigns benefits to 9 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Creighton University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Legacy Good Samaritan Hospital and Medical CenterLegacy Clinics LLCLegacy Meridian Park HospitalLegacy Mount Hood Medical Center
Practice addresses (Care Compare)
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711
1040 NW 22ND Ave
Suite 660
Portland, OR 97210-3083
Phone (503) 413-7162
1130 NW 22ND Ave
Suite 400
Portland, OR 97210-2971
Phone (503) 413-6722
1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 692-2500
24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 661-9150
Hospital & facility affiliations
- Legacy Meridian Park Medical Center
- Legacy Good Samaritan Medical Center
- Legacy Emanuel Medical Center
- Legacy Mount Hood Medical Center
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.34 of 100
- Quality
- 92.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.53
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD22165 | OR | MD | Interventional Cardiology Physician |
| 22165 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Tuality Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Tuality Healthcare | Current | Accepting new patients | |
| Legacy Mount Hood Medical Center | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Mount Hood Medical Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Legacy Clinics LLC | Internal Medicine | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Peacehealth Medical Group | Internal Medicine | Past | Accepting new patients |
| McKenzie Willamette Regional Medical Center Associates LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
1200 Hilyard St
Ste S460
Eugene, OR 97401
Phone (541) 484-5128
4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300
24900 SE Stark St
Ste 109
Gresham, OR 97030
Phone (503) 667-1015
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
333 SE 7th Ave
Ste 5400
Hillsboro, OR 97123
Phone (503) 647-0731
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405
1040 NW 22nd Ave
Ste 630
Portland, OR 97210
Phone (503) 796-2743
1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022
475 S Columbia River Hwy
Ste 100
Saint Helens, OR 97051
Phone (503) 229-8455
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154
3311 Riverbend Dr
Ste 300
Springfield, OR 97477
Phone (541) 484-4332
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
19250 SW 65th Ave
Tualatin, OR 97062
Phone (503) 691-6582
Interoperability endpoints
- slau763812@direct.lhs.org
- sslau062@yourcarecommunity.org
Organizations & group practices 25
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
OR
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
Internal Medicine, OR
-
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
Hospital
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
Hospital
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1811995087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3808",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083808",
"telephone_number": "503-413-3900",
"fax_number": "503-413-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 NW 22ND AVE STE 660",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103083",
"telephone_number": "503-413-7162",
"fax_number": "503-413-7148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "SAMUEL",
"middle_name": "S.M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD22165",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "MD22165",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OR",
"license": "MD22165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130272",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.