Individual provider Active NPI

Aleksandra Anna Giedwoyn, MD

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1912229279
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD25161 Issued in OR
Practice address
736 SE 60TH Ave
Portland, OR 97215-1906
Phone
(503) 662-1971
Fax
(844) 299-0399
NPI assigned
Feb 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD25161 OR Primary

Addresses

Primary practice location

736 SE 60TH Ave
Portland, OR 97215-1906

Mailing address

835 SE 72ND Ave
Portland, OR 97215-2211
Phone (503) 662-1971

Other names 1

  • Aleksandra Anna Giedwoyn Mizgajska Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 9, 2025 through Feb 9, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25161ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aleksandra Giedowyn MD PC Family Medicine CurrentSince Sep 5, 2023 Accepting new patients

Locations

736 SE 60th Ave
Portland, OR 97215
Phone (503) 231-0743

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1912229279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SE 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152211",
            "telephone_number": "503-662-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 SE 60TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151906",
            "telephone_number": "503-662-1971",
            "fax_number": "844-299-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEDWOYN",
        "first_name": "ALEKSANDRA",
        "middle_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD25161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEKSANDRA",
            "last_name": "GIEDWOYN MIZGAJSKA",
            "middle_name": "ANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.