Individual provider Active NPI

Kwo Wei David Ho, M.D., PH.D

  • Interventional Pain Medicine Physician
  • Tigard, OR
National Provider Identifier
1063894541
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD198577 Issued in OR
Practice address
11930 SW Greenburg Rd
Tigard, OR 97223-6453
Phone
(503) 987-3707
Fax
(503) 987-3001
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD61059947 WA
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X MD198577 OR
Interventional Pain Medicine Physician 208VP0014X MD198577 OR Primary

Addresses

Primary practice location

11930 SW Greenburg Rd
Tigard, OR 97223-6453

Mailing address

11930 SW Greenburg Rd
Tigard, OR 97223-6453
Phone (503) 987-3707

Other practice location 1

505 NE 87th Ave Ste 460
Vancouver, WA 98664-1965
Phone (360) 514-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728001853 OR Practitioner - NeurologyPractitioner - Pain Management 6204143001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
University of Iowa, RJ & L Carver College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nerve and Pain Institute LLCGroup PAC ID 7911321666, 2 clinicians

Practice addresses (Care Compare)

11930 SW Greenburg Rd
Tigard, OR 97223-6453
Phone (503) 987-3707

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD61059947WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nerve and Pain Institute LLC Pain Medicine CurrentSince Jul 15, 2020 Accepting new patients

Locations

17610 SW Alexander St
Beaverton, OR 97003
Phone (503) 481-4594

11930 SW Greenburg Rd
Tigard, OR 97223
Phone (503) 639-1712

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: kho442863@direct.peacehealth.org
  • Direct secure messaging: kho@nervepain.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1063894541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 SW GREENBURG RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236453",
            "telephone_number": "503-987-3707",
            "fax_number": "503-987-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 SW GREENBURG RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236453",
            "telephone_number": "503-987-3707",
            "fax_number": "503-987-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 NE 87th Ave Ste 460",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641965",
            "country_code": "US",
            "telephone_number": "360-514-7771",
            "fax_number": "360-514-7769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "KWO WEI",
        "middle_name": "DAVID",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61059947",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "OR",
            "license": "MD198577",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OR",
            "license": "MD198577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.