Active NPI
Melissa Rose Nyendak, MD
- Infectious Disease Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD25919
- Practice address
- Oregon Health and Science University
3181 SW Sam Jackson Park Road L457
Portland, OR 97239 - Phone
- (503) 494-9000
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD25919 | OR | Primary |
Addresses
Primary practice location
Oregon Health and Science University
3181 SW Sam Jackson Park Road L457
Portland, OR 97239
Mailing address
3181 SW Sam Jackson Park Rd # L457
Portland, OR 97239-3011
Phone (503) 494-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD25919 | Other | OR | STATE LICENSING NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 NE 8TH St
Gresham, OR 97030-7317
Phone (503) 988-7468
619 NW 6TH Ave
Portland, OR 97209-3964
Phone (503) 988-7468
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25919 | OR | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multnomah County | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients | |
| Multnomah County | Current | Accepting new patients |
Locations
600 NE 8th St
Gresham, OR 97030
Phone (503) 988-4900
209 SW 4th Ave
Ste 210
Portland, OR 97204
Phone (503) 988-3674
619 NW 6th Ave
Fl 5
Portland, OR 97209
Phone (503) 988-3674
619 NW 6th Ave
Portland, OR 97209
Phone (503) 988-3674
Interoperability endpoints
- mnyendak824357@direct.ochin.org
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 and National Provider Directory roles.
-
dba Multnomah County Health Dept, North Portland
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1609914787
-
dba Multnomah County Health Department
- Case Management Agency
- Portland, OR
- NPI 1538391073
-
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1912322074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1851506299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD # L457",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OREGON HEALTH AND SCIENCE UNIVERSITY",
"address_2": "3181 SW SAM JACKSON PARK ROAD L457",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYENDAK",
"first_name": "MELISSA",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "OR",
"license": "MD25919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSING NUMBER",
"identifier": "MD25919",
"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 Aug 7, 2007; 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.