MERCY GATE MEDICAL, P.C.
NPI 1619769593
Internal Medicine in Beaverton, OR

Active since May 19, 2025
12050 SW CHAMPLIN LN, BEAVERTON, OR 97007(541) 908-2316 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mercy Gate Medical, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY GATE MEDICAL, P.C. (NPI 1619769593) is a healthcare organization registered as an internal medicine in Beaverton, Oregon and active in the NPI registry since May 2025. The organization lists Aly Mohamed, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619769593
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMERCY GATE MEDICAL, P.C.
Location Address12050 SW CHAMPLIN LNBeaverton, OR 97007-8600
Mailing Address401 Ne 19th Ave Ste 200Portland, OR 97232-4800
Organization SubpartNo
Authorized OfficialAly MohamedCeo · (541) 908-2316
Enumeration DateMay 19, 2025
NPPES CertifiedMay 19, 2025
NPI 1619769593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12050 SW CHAMPLIN LN, Beaverton, OR 97007

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Mercy Gate Medical, P.C.'s NPI number?

The NPI number for Mercy Gate Medical, P.C. is 1619769593. It was assigned to this organization in the NPPES registry on May 19, 2025.

Where is Mercy Gate Medical, P.C. located?

Mercy Gate Medical, P.C. is located at 12050 SW Champlin Ln, Beaverton, OR 97007. The listed phone number is (541) 908-2316.

What is Mercy Gate Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Mercy Gate Medical, P.C. was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.