Individual provider Active NPI

Gerald D Youker, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Portland, OR
National Provider Identifier
1912908138
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD019378 Issued in OR
Practice address
5050 NE Hoyt St
Suite 317
Portland, OR 97213-2991
Phone
(503) 256-4096
Fax
(503) 256-0101
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD019378 OR Primary

Addresses

Primary practice location

5050 NE Hoyt St
Suite 317
Portland, OR 97213-2991

Mailing address

5050 NE Hoyt St
Suite 317
Portland, OR 97213-2991
Phone (503) 256-4096

Other identifiers 1

IdentifierTypeStateIssuer
005090MedicaidOR

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
I20101104001519 OR Practitioner - Endocrinology 8729176110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Loma Linda University School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Endocrine Clinic PCGroup PAC ID 1850363003, 2 clinicians

Practice addresses (Care Compare)

5050 NE Hoyt St
Suite 418
Portland, OR 97213-2984
Phone (503) 256-4096

Hospital & facility affiliations

  • Adventist Health Tillamook Hospital, Tillamook, OR, CCN 381317
  • Adventist Health Portland Hospital, Portland, OR, CCN 380060
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD019378ORMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Endocrine Clinic PC Endocrinology, Diabetes & Metabolism CurrentSince Nov 1, 1995 Accepting new patients
Portland Surgical Oncology, PC Past Accepting new patients

Locations

10000 SE Main St
Ste 306
Portland, OR 97216
Phone (503) 256-4096

5050 NE Hoyt St
Ste 317
Portland, OR 97213
Phone (503) 239-0092

10000 SE Main St
Ste 236
Portland, OR 97216
Phone (503) 256-1470

5050 NE Hoyt St
Ste 418
Portland, OR 97213
Phone (503) 256-4096

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1912908138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST",
            "address_2": "SUITE 317",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132991",
            "telephone_number": "503-256-4096",
            "fax_number": "503-256-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST",
            "address_2": "SUITE 317",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132991",
            "telephone_number": "503-256-4096",
            "fax_number": "503-256-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUKER",
        "first_name": "GERALD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "MD019378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005090",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.