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

Mary Anne Joseph Nidiry, MD

Individual provider Internal Medicine Physician · NPI 1518041045

Mary Anne Joseph Nidiry, MD is an Internal Medicine in Portland, Oregon. Graduated from George Washington University School of Medicine in 1993, 33 years ago. Practices with Providence Health and Services - Oregon, a 191-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Oregon.

Years since qualifying
33
Trained at
George Washington University School of Medicine
Licensed in
NY, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5050 NE Hoyt St Ste 540
Portland, OR 97213-2985
Phone: (503) 216-6600
Fax: (503) 215-7751
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD191875 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 242513 (NY)

Record details

NPI number1518041045
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Providence Health And Services - Oregon — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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