NICHOLAS LANDAU GIDEONSE (MD) – Family Medicine Physician, NPI 1639184146
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,081 FAMILY PRACTICE in OR
Provider Addresses for NICHOLAS LANDAU GIDEONSE (MD)
3930 SE Division St
Portland, OR 972021643
Phone: (503) 418-3900
Type: Location
OHSU Family Medicine at Richmond, 3930, Southeast Division Street, Richmond, Portland, Metro, Multnomah County, Oregon, 97202, United States
PORTLAND, OR 972021643
Phone: (503) 418-3900
Type: Location
1515 VILLAGE DR
COTTAGE GROVE, OR 974249700
Phone: (541) 767-5200
Fax: (541) 767-5310
Type: Location
1400, Southeast Oak Street, Central Eastside, Buckman, Portland, Multnomah County, Oregon, 97214, United States
PORTLAND, OR 972141430
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040505001499 | I | Family Practice | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 42 | 14 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 22 | 16 | $0 |
Insurance plans in this area (ZIP 97202)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Family Practice, Emergency Medicine, Osteopathic Manipulative Medicine, Hospitalist, Family Practice | ID | |
| Nurse Practitioner | OR | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| D E R M A T O L O G Y | NC | |
| Family Practice | AZ | |
| Nurse Practitioner | OR | |
| Family Practice | OR | |
| General Surgery | UT | |
| Nurse Practitioner | AL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.