Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Frederick Anthony Tibayan, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1174719686

Dr. Frederick Anthony Tibayan, MD is a Cardiac Surgery in Portland, Oregon. Graduated from Harvard Medical School in 1998, 28 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
28
Trained at
Harvard Medical School
Licensed in
CA, OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd Mail Code: L353
Portland, OR 97239-3011
Phone: (503) 494-7820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence MD126341 (OR)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence A77336 (CA)

Record details

NPI number1174719686
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 18, 2007
Last updated in NPPESJanuary 7, 2013
Mailing address3181 Sw Sam Jackson Park Rd, Mail Code: L353, Portland, OR 97239-3011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC SURGERY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 1998 (28 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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