GORDON SHYU (DO) – Internal Medicine Physician, NPI 1871088229

GORDON SHYU (DO) is a healthcare provider. based in Portland, Oregon. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. OP61616183 (WA). The NPI Number for GORDON SHYU (DO) is 1871088229

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
GORDON SHYU (DO)
NPI
1871088229
Phone
(503) 215-2392
Address
4805 NE GLISAN ST
Enumeration Date
28 June 2018
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
5032156480
Graduation Year
2018 (8 years ago)
PAC ID
2466700687
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20230807002398
Address ID
OR972132981PO5050XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:7State licenses:3Digital endpointsOther names

2,475 INTERNAL MEDICINE in OR

Provider Addresses for GORDON SHYU (DO)

  • 4805 NE GLISAN ST

    PORTLAND, OR 972132933

    Phone: (503) 215-2392

    Type: Location

  • Inkster Road, Garden City, Wayne County, Michigan, 48134, United States

    GARDEN CITY, MI 481354001

    Phone: (734) 458-4486

    Type: Location

  • 4805 NE Glisan St

    Portland, OR 972132933

    Phone: (503) 215-2392

    Type: Location

  • 10180 SE Sunnyside Rd

    Clackamas, OR 970158970

    Phone: (800) 813-2000

    Type: Location

  • 500 NE MULTNOMAH ST STE 100

    PORTLAND, OR 972322031

    Phone: (800) 813-2000

    Fax: (855) 524-5255

    Type: Mailing

  • 400 NE MOTHER JOSEPH PL

    VANCOUVER, WA 986643200

    Phone: (800) 813-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2025-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210617002246IHospitalistWITBD
I20230807002203IInternal MedicineWATBD
I20230807002398IInternal MedicineORTBD
I20250401003090IInternal MedicineMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1919$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 97213)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

What identifier follows GORDON SHYU (DO) across health systems?
The NPI 1871088229 uniquely identifies GORDON SHYU (DO) in U.S. healthcare data.
Does the public listing show GORDON SHYU (DO) as active?
GORDON SHYU (DO)'s NPI record reflects an active status in NPPES.
What type of care does GORDON SHYU (DO) provide?
GORDON SHYU (DO)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GORDON SHYU (DO)?
GORDON SHYU (DO) is associated with Portland, Oregon in the same public data insurers reference.
Can I export GORDON SHYU (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.