Individual provider Active NPI

Samuel S.M. Lau, M.D.

  • Interventional Cardiology Physician
  • Portland, OR
National Provider Identifier
1811995087
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD22165 Issued in OR
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

Updated by the provider on May 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
130272MedicaidOR

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
I20031112000210 OR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931012226 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
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 Center 190 clinicians
Legacy Clinics LLC 714 clinicians
Legacy Meridian Park Hospital 113 clinicians
Legacy Mount Hood Medical Center 58 clinicians

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 Hospital, Tualatin, OR, CCN 380089
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
76.53

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD22165ORMDInterventional Cardiology Physician
22165ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Aug 10, 2008 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Mar 15, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Mar 20, 2025 Accepting new patients
Tuality Medical Group LLC Internal Medicine CurrentSince Jul 20, 2019 Accepting new patients
Tuality Healthcare Current Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Aug 30, 2022 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Aug 30, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Mar 20, 2025 Accepting new patients
Tuality Medical Group LLC CurrentSince Jul 20, 2019 Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Nov 24, 2021 Accepting new patients
Peacehealth CurrentSince Aug 10, 2008 Accepting new patients
Silverton Health CurrentSince May 16, 2022 Accepting new patients
Legacy Clinics LLC CurrentSince Nov 24, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince May 1, 2022 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Meridian Park Hospital CurrentSince Mar 15, 2022 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince May 1, 2022 Accepting new patients
Peacehealth Current Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Silverton Health CurrentSince May 16, 2022 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

  • Direct secure messaging: slau763812@direct.lhs.org
  • Direct secure messaging: 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.

View all 25

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.