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DR. TYLER JUSTIN GLUCKMAN M.D. NPI 1790749422


NPI Information

NPI: 1790749422
Provider Name: DR. TYLER JUSTIN GLUCKMAN, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
9427 SW BARNES RD
SUITE 498
PORTLAND, OR
ZIP 97225
Phone: (503) 216-0900
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DR. Tyler Justin Gluckman, M.D. is a cardiovascular disease internal medicine in Portland, OR with 27 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Tyler Justin Gluckman, M.D. NPI is 1790749422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1997

The provider's business location address is:

9427 SW BARNES RD
SUITE 498
PORTLAND, OR
ZIP 97225-652
Phone: (503) 216-0900

The NPI 1790749422 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 4/12/2006 and was last updated on 12/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseD0058894MARYLANDNo
2207RC0000XInternal MedicineCardiovascular DiseaseMD26695OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R156591MEDICARE PINOREGON
2H20606MEDICARE UPINOREGON
3R154644MEDICARE PINOREGON
4R156015MEDICARE PINOREGON
5R134784MEDICARE PINOREGON
6240072MEDICAIDOREGON
7P00848623OTHEROREGONRR MEDICARE
8R159875MEDICARE PINOREGON
9P00348434OTHEROREGONRR MEDICARE
10G8905161MEDICARE PINWASHINGTON
11R154588MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.