Active NPI
Gerald Marc Segal, M.D.
- Hematology & Oncology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD14774
- Practice address
- 265 N Broadway St
Portland, OR 97227-1800 - Phone
- (503) 280-1223
- Fax
- (503) 528-5252
- NPI assigned
- May 27, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD14774 | OR | Primary |
Addresses
Primary practice location
265 N Broadway St
Portland, OR 97227-1800
Mailing address
265 N Broadway St
Portland, OR 97227-1800
Phone (503) 280-1223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171454 | Medicaid | OR | |
| 1022695 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Northwestern University Feinberg Medical School, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 SE 136TH Ave
Vancouver, WA 98684-6930
Phone (360) 944-9889
265 N Broadway
Portland, OR 97227-1800
Phone (503) 280-1223
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Cancer Specialists, PC | Current | Accepting new patients |
Locations
210 SE 136th Ave
Vancouver, WA 98684
Phone (360) 944-9889
Interoperability endpoints
- gsegal154794@direct.ohsu.edu
- gerald.segal@compass.ikm.direct-ci.com
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.
-
dba Compass Oncology
- Hematology & Oncology Physician
- Vancouver, WA
- NPI 1407828114
OR
-
dba Compass Oncology
- Clinical Medical Laboratory
- Vancouver, WA
- NPI 1548506587
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Legacy Good Samaritan Providers
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1942203534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 N BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271800",
"telephone_number": "503-280-1223",
"fax_number": "503-528-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 N BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271800",
"telephone_number": "503-280-1223",
"fax_number": "503-528-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "GERALD",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OR",
"license": "MD14774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171454",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022695",
"state": "WA"
}
],
"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 Jan 18, 2012; 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.