Individual provider Active NPI

Maria Theresa Silvano De Jesus, MD

  • Nephrology Physician
  • Portland, OR
National Provider Identifier
1083825251
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD210270 Issued in OR
Practice address
4224 NE Halsey St Ste 300
Portland, OR 97213-1568
Phone
(503) 235-5509
Fax
(503) 235-5335
NPI assigned
May 26, 2007
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD210270 OR Primary
Nephrology Physician 207RN0300X MD61280825 WA

Addresses

Primary practice location

4224 NE Halsey St Ste 300
Portland, OR 97213-1568

Mailing address

PO Box 3068
Portland, OR 97208-3068
Phone (503) 229-7976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110714000427 FL Practitioner - NephrologyPractitioner - Internal Medicine 2668640814 Reassigns benefits to 1 organization
I20220718001391 OR Practitioner - Nephrology 2668640814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Renal Clinic IncGroup PAC ID 8628065836, 39 clinicians

Practice addresses (Care Compare)

4224 NE Halsey St
Suite 300
Portland, OR 97213-1568
Phone (503) 235-5509

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61280825WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Sep 1, 2022 Accepting new patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Sep 1, 2022 Accepting new patients
Quintina B. Corteza MD PA Nephrology CurrentSince Jul 1, 2011 Accepting new patients
Northwest Renal Clinic, Inc. Nephrology Current Accepting new patients

Locations

401 E North Blvd
Ste 102A
Leesburg, FL 34748
Phone (352) 314-3436

12550 SE 93rd Ave
Ste 250
Clackamas, OR 97015
Phone (503) 654-1153

1130 NW 22nd Ave
Ste 640
Portland, OR 97210
Phone (503) 229-7976

4224 NE Halsey St
Ste 300
Portland, OR 97213
Phone (503) 235-5509

Interoperability endpoints

  • Direct secure messaging: mdejesus42125@direct.acumenmd.com
  • Direct secure messaging: mdejesus562493@direct.shands.ufl.edu

Organizations & group practices 4

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

Hospital & facility affiliations 10

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": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1083825251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3068",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083068",
            "telephone_number": "503-229-7976",
            "fax_number": "503-274-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 NE HALSEY ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131568",
            "telephone_number": "503-235-5509",
            "fax_number": "503-235-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "MARIA THERESA",
        "middle_name": "SILVANO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD210270",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD61280825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.