Active NPI
Aleksandra Anna Giedwoyn, MD
- Family Medicine Physician
- Portland, OR
National Provider Identifier
1912229279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD25161
- 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
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 |
|---|---|---|---|---|
| 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
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD25161 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aleksandra Giedowyn MD PC | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Portland, OR
- NPI 1588449425
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.