GAVIN CARUSO DO
NPI 1407659600
Student in an Organized Health Care Education/Training Program in Portland, OR
About Gavin Caruso Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAVIN CARUSO DO (NPI 1407659600) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gavin Caruso Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97210
PORTLAND, OR 97210
PORTLAND, OR 97210
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 Gavin Caruso's NPI number?
The NPI number for Gavin Caruso is 1407659600. It was assigned to this individual provider in the NPPES registry on March 31, 2025.
Where is Gavin Caruso located?
Gavin Caruso practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-7711.
What is Gavin Caruso's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Gavin Caruso enrolled in Medicare?
Yes. Gavin Caruso is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gavin Caruso was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Gavin Caruso, DO · NPI 1407659600
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 31, 2025.
## Identity
- **NPI:** 1407659600 (Entity type: Individual)
- **Enumerated:** March 31, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1015 NW 22ND AVE, Portland, OR 97210-3025
- **Phone:** (503) 413-7711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407659600) · Data from the CMS NPPES public registry.