DR. PAUL U YUTAN M.D.
NPI 1114963196
Internal Medicine in Lake Oswego, OR
About Dr. Paul U Yutan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL U YUTAN M.D. (NPI 1114963196) is an individual internal medicine provider in Lake Oswego, Oregon, licensed in Oregon (MD24270) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Paul U Yutan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Paul Yutan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Oswego, OR 97035
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Portland Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Paul Yutan's NPI number?
The NPI number for Paul Yutan is 1114963196. It was assigned to this individual provider in the NPPES registry on June 20, 2006.
Where is Paul Yutan located?
Paul Yutan practices at 14535 Westlake Dr Ste B, Lake Oswego, OR 97035. The listed phone number is (503) 479-5608.
What is Paul Yutan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Paul Yutan enrolled in Medicare?
Yes. Paul Yutan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Paul Yutan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Yutan reassigns Medicare benefits to Providence Health & Services Oregon (Lake Oswego, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Yutan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Paul Yutan affiliated with any hospitals?
According to CMS data, Paul Yutan is affiliated with Providence Portland Medical Center.
When was this NPI record last updated?
The NPPES record for Paul Yutan was last updated on May 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Paul U Yutan, M.D. · NPI 1114963196
Internal Medicine physician in Lake Oswego, Oregon. Individual provider, active in the CMS NPPES registry since June 20, 2006.
## Identity
- **NPI:** 1114963196 (Entity type: Individual)
- **Enumerated:** June 20, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD24270 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 14535 WESTLAKE DR STE B, Lake Oswego, OR 97035-7775
- **Phone:** (503) 479-5608
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Health & Services Oregon (NPI 1023488343, Lake Oswego, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** May 4, 2025
- **Other identifiers:** Medicaid 181616 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1114963196) · Data from the CMS NPPES public registry.