DAVID TAY MD
NPI 1639759046
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 09, 2021PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David Tay Md NPPES

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

DAVID TAY MD (NPI 1639759046) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1639759046
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID TAYCredential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3098
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3098 · (503) 494-8211
Sole ProprietorNo
Enumeration DateApril 9, 2021
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1639759046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD215808 (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Secondary Practice Location 1

Location 14212 SE Division St Ste 100Portland, OR 97206-1680 · Phone (503) 963-2575

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Tay Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show David Tay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1035 NW NORTHRUP ST
Portland, OR 97209
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 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.

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.

Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

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 David Tay's NPI number?

The NPI number for David Tay is 1639759046. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is David Tay located?

David Tay practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is David Tay's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is David Tay enrolled in Medicare?

Yes. David Tay is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Tay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Tay reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, 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 David Tay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Tay accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Premera Blue Cross Blue Shield of Alaska list David Tay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Tay was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.