Individual provider Active NPI

Ian Cely

  • Emergency Medicine Physician
  • Hillsboro, OR
National Provider Identifier
1164862017
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD185328 Issued in OR
Practice address
335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone
(503) 681-1860
Fax
(503) 681-1606
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X MD185328 OR Primary

Addresses

Primary practice location

335 SE 8TH Ave
Hillsboro, OR 97123-4246

Mailing address

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1860

Other practice location 1

10123 SE Market St
Portland, OR 97216-2532
Phone (503) 257-2500

Other practice location 2

930 SW Abbey St Ste A
Newport, OR 97365-4820
Phone (541) 265-2244

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE) Northwest Permanente PC
Direct Messaging Address icely275964@samhealth.direct-ci.com

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
I20180717003031 OR Practitioner - Emergency Medicine 9638482409 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oregon Health Sciences University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians
Santiam Memorial HospitalGroup PAC ID 6103729751, 128 clinicians
Tuality Medical Group LLCGroup PAC ID 7416173414, 289 clinicians

Practice addresses (Care Compare)

10123 SE Market St
Portland, OR 97216-2532
Phone (503) 257-2500

1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (503) 769-2175

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111

Hospital & facility affiliations

  • Adventist Health Portland Hospital, Portland, OR, CCN 380060
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056
  • Hillsboro Medical Center Hospital, Hillsboro, OR, CCN 380021
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
84.7
Promoting interoperability
100
Improvement activities
40
Cost
79.21

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare Current Accepting new patients
Tuality Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Emergency Medicine CurrentSince Sep 27, 2021 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Salem Health West Valley CurrentSince Dec 24, 2024 Accepting new patients
Tuality Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients
Santiam Memorial Hospital Current Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Portland Adventist Medical Center Emergency Medicine CurrentSince Jul 17, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Sep 27, 2021 Accepting new patients
Santiam Memorial Hospital CurrentSince Nov 30, 2024 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 17, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Santiam Memorial Hospital CurrentSince Nov 30, 2024 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

1401 N 10th Ave
Stayton, OR 97383
Phone (503) 769-2175

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

Interoperability endpoints

  • Direct secure messaging: icely275964@samhealth.direct-ci.com
  • Direct secure messaging: icely396425@direct.salemhealth.org
  • Direct secure messaging: icely74097@direct.ohsu.edu

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1164862017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 SE 8TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234246",
            "telephone_number": "503-681-1860",
            "fax_number": "503-681-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 SE 8TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234246",
            "telephone_number": "503-681-1860",
            "fax_number": "503-681-1606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10123 SE Market St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162532",
            "country_code": "US",
            "telephone_number": "503-257-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 SW Abbey St Ste A",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-265-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELY",
        "first_name": "IAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD185328",
            "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": "10180 SE Sunnyside Rd",
            "city": "Clackamas",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970158970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "icely275964@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St Ste A",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.