Individual provider Active NPI

Mitchell A Hawkey, MD

  • Nephrology Physician
  • Portland, OR
National Provider Identifier
1144298209
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD23358 Issued in OR
Practice address
9155 SW Barnes Rd Ste 402
Portland, OR 97225-6631
Phone
(503) 292-7704
Fax
(503) 292-7046
NPI assigned
Mar 14, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD23358 OR Primary
Nephrology Physician 207RN0300X MD-20813 HI
Nephrology Physician 207RN0300X MD60116211 WA

Addresses

Primary practice location

9155 SW Barnes Rd Ste 402
Portland, OR 97225-6631

Mailing address

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

Other practice location 1

9701 SW Barnes Rd Ste 110
Portland, OR 97225-6774
Phone (503) 595-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, HI2 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
I20040519000581 OR Practitioner - NephrologyPractitioner - Internal Medicine 6406847573 Reassigns benefits to 1 organization
I20200108001545 HI Practitioner - Nephrology 6406847573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
New York University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Renal Clinic IncGroup PAC ID 8628065836, shared by 3 NPIs, 39 clinicians

Practice addresses (Care Compare)

105 Maui Lani Pkwy
Suite 100
Wailuku, HI 96793-2443
Phone (808) 442-7777

9155 SW Barnes Rd
Suite 402
Portland, OR 97225-6631
Phone (503) 292-7704

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-20813HIMDNephrology Physician
MD60116211WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Jul 1, 2004 Accepting new patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Jul 1, 2004 Accepting new patients
Northwest Renal Clinic, Inc. Nephrology Current Accepting new patients

Locations

105 Maui Lani Pkwy
Ste 100
Wailuku, HI 96793
Phone (808) 244-9555

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

9155 SW Barnes Rd
Ste 402
Portland, OR 97225
Phone (503) 292-7704

9701 SW Barnes Rd
Ste 110
Portland, OR 97225
Phone (503) 595-6675

Interoperability endpoints

  • Direct secure messaging: mhawkey37090@direct.acumenmd.com

Organizations & group practices 3

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1144298209",
    "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": "9155 SW BARNES RD STE 402",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256631",
            "telephone_number": "503-292-7704",
            "fax_number": "503-292-7046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9701 SW Barnes Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256774",
            "country_code": "US",
            "telephone_number": "503-595-6675",
            "fax_number": "503-595-6679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKEY",
        "first_name": "MITCHELL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD23358",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD-20813",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD60116211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.