Individual provider Active NPI

Csanad Gyorgy Varallyay, M.D., PH.D.

  • Diagnostic Radiology Physician
  • Portland, OR
National Provider Identifier
1841604410
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
FE168167 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-4512
NPI assigned
Jun 11, 2014
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X FE168167 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

0650 SW Gaines St
Apt# 1606
Portland, OR 97239-4410
Phone (503) 784-4167

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
I20210302002281 OR Practitioner - Diagnostic Radiology 6406174283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Imaging PCGroup PAC ID 6608766423, 6 clinicians

Practice addresses (Care Compare)

10121 SE Sunnyside Rd
Suite 170
Clackamas, OR 97015-5709
Phone (877) 540-1614

10121 SE Sunnyside Rd
Suite 325
Clackamas, OR 97015-5714
Phone (877) 540-1614

233 NE 102ND Ave
Portland, OR 97220-4106
Phone (503) 535-8396

8950 SW Nimbus Ave
Beaverton, OR 97008-7478
Phone (503) 372-1800

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as individual
Quality
98.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
FE168167ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Imaging PC Diagnostic Radiology CurrentSince Apr 12, 2021 Accepting new patients
Epic Imaging-West, Inc. Diagnostic Radiology Past Accepting new patients
Anesthesia Associates Northwest LLC Past Accepting new patients

Locations

1500 NW Bethany Blvd
Ste 100
Beaverton, OR 97006
Phone (503) 619-1100

8950 SW Nimbus Ave
Beaverton, OR 97008
Phone (503) 253-1105

10121 SE Sunnyside Rd
Ste 170
Clackamas, OR 97015
Phone (877) 540-1614

233 NE 102nd Ave
Portland, OR 97220
Phone (503) 253-1105

Organizations & group practices 3

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1841604410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0650 SW GAINES ST",
            "address_2": "APT# 1606",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394410",
            "telephone_number": "503-784-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARALLYAY",
        "first_name": "CSANAD",
        "middle_name": "GYORGY",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "FE168167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.