Gunardi Nyoto Irawan, MD - Medicare Internal Medicine in Beaverton, OR

Gunardi Nyoto Irawan, MD is a medicare enrolled "Internal Medicine" physician in Beaverton, Oregon. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Portland Clinic and his current practice location is 15950 Sw Millikan Way, Beaverton, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 646-0161.

Gunardi Nyoto Irawan is licensed to practice in Oregon (license number MD214386) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053752832.

Contact Information

Gunardi Nyoto Irawan, MD
15950 Sw Millikan Way,
Beaverton, OR 97003-5170
(503) 646-0161
Not Available

Map and Direction




Physician's Profile

Full NameGunardi Nyoto Irawan
GenderMale
SpecialityInternal Medicine
Experience13 Years
Location15950 Sw Millikan Way, Beaverton, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gunardi Nyoto Irawan graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1053752832
  • Provider Enumeration Date: 07/09/2013
  • Last Update Date: 07/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557648961
  • Enrollment ID: I20230215001261

Medical Identifiers

Medical identifiers for Gunardi Nyoto Irawan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053752832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 269613 (Massachusetts)Secondary
207R00000XInternal Medicine MD214386 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Umass Memorial Medical Center/university CampusWorcester, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Portland Clinic822494286783

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gunardi Nyoto Irawan allows following entities to bill medicare on his behalf.
Entity NamePortland Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558379099
PECOS PAC ID: 8224942867
Enrollment ID: O20031118000101

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gunardi Nyoto Irawan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gunardi Nyoto Irawan, MD
15950 Sw Millikan Way,
Beaverton, OR 97003-5170

Ph: (503) 646-0161
Gunardi Nyoto Irawan, MD
15950 Sw Millikan Way,
Beaverton, OR 97003-5170

Ph: (503) 646-0161

Reviews and Comments


Internal Medicine Doctors in Beaverton, OR

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Dr. Ian L. Barr, M.D.
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Dr. Helen Lawrence Henry, MD
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Phone: 503-747-4936    Fax: 503-747-4939
Dr. Edmund Howard Torkelson, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 1960 Nw 167th Pl, Suite #204, Beaverton, OR 97006
Phone: 503-614-8735    Fax: 503-614-8749

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.