Active NPI
Kellie Rooney Foster, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD153981
- Practice address
- 17727 E Burnside St
Portland, OR 97233-4803 - Phone
- (503) 215-9800
- NPI assigned
- May 31, 2007
- Last updated
- Apr 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD153981 | OR | Primary |
Addresses
Primary practice location
17727 E Burnside St
Portland, OR 97233-4803
Mailing address
4400 NE Halsey St Ste 200
Portland, OR 97213-1545
Phone (503) 215-6556
Other practice location 1
2710 NW Vaughn St
Suite 160
Portland, OR 97210-5344
Phone (503) 499-5200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Northwest Permanente PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
2701 NW Vaughn St
Ste 160
Portland, OR 97210
Phone (503) 499-5200
3550 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
dba Interstate Radiation Oncology
- Radiation Oncology Clinic/Center
- Portland, OR
- NPI 1093043424
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1093916470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 NE HALSEY ST STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972131545",
"telephone_number": "503-215-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17727 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972334803",
"telephone_number": "503-215-9800"
}
],
"practiceLocations": [
{
"address_1": "2710 NW Vaughn St",
"address_2": "Suite 160",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972105344",
"country_code": "US",
"telephone_number": "503-499-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOSTER",
"first_name": "KELLIE",
"middle_name": "ROONEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OR",
"license": "MD153981",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Northwest Permanente PC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "3550 N Interstate Ave",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972271196",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.