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ANDREW DAVID RYLAARSDAM DO
NPI 1760127302
Psychiatry & Neurology - Child & Adolescent Psychiatry in Corvallis, OR

Active since April 28, 2022PECOS Enrolled
3600 NW SAMARITAN DR, CORVALLIS, OR 97330(541) 768-4906 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew David Rylaarsdam Do NPPES

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

ANDREW DAVID RYLAARSDAM DO (NPI 1760127302) is an individual child & adolescent psychiatry provider in Corvallis, Oregon, licensed in Oregon (PG211206) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760127302
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameANDREW DAVID RYLAARSDAMCredential: DO
Location Address3600 NW SAMARITAN DRCorvallis, OR 97330-5472
Mailing Address3600 Nw Samaritan DrCorvallis, OR 97330-5472 · (541) 768-4906
Phone(541) 768-4906
Sole ProprietorNo
Enumeration DateApril 28, 2022
NPPES CertifiedApril 28, 2022
✔ NPI 1760127302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in OR · PG211206
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
3600 NW SAMARITAN DR, Corvallis, OR 97330
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew David Rylaarsdam Do 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.

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.

DR. ELIZABETH BURNS MCQUITTY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3600 NW SAMARITAN DR, PATHOLOGY DEPT
CORVALLIS, OR 97330
Benton County (541) 768-6697
MS. KIM SCHLESSINGER ANP-BC
Nurse Practitioner (Adult Health)
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-6687
DR. PARINAV KANWAR
Student in an Organized Health Care Education/Training Program
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
SAMUEL ARNOT DO
Internal Medicine
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5111
DANIELLE MICHELLE NIEMANN DO
Student in an Organized Health Care Education/Training Program
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
MOHAN AVULA DO
Internal Medicine
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-4906
DR. RANDALL V. BREAM M.D.
Internal Medicine (Cardiovascular Disease)
3600 NW SAMARITAN DR, SUITE E350
CORVALLIS, OR 97330
Benton County (541) 768-5205
DR. DESTINY JENNIFER GMELCH M.D.
Pediatrics
3600 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 768-5111

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 Andrew Rylaarsdam's NPI number?

The NPI number for Andrew Rylaarsdam is 1760127302. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Andrew Rylaarsdam located?

Andrew Rylaarsdam practices at 3600 NW Samaritan Dr, Corvallis, OR 97330. The listed phone number is (541) 768-4906.

What is Andrew Rylaarsdam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Andrew Rylaarsdam enrolled in Medicare?

Yes. Andrew Rylaarsdam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Rylaarsdam was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.