Cardiorenal Vision for Oregon LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CARDIORENAL VISION FOR OREGON LLC

Practice address

39 NE 102ND Ave
Portland, OR 97220-4103

Phone

(503) 334-2332

Fax

(503) 334-2332

NPI assigned

Jan 13, 2025

Organization subpart

No

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

Authorized official

Name

Rehan Shah, MDNPI 1255521332

Title

Owner

Phone

(503) 334-2332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Jane O'Meara, FNP

  • Family Nurse Practitioner
  • Gresham, OR
  • NPI 1588272710
  Medicare reassignment NPD
• Junaid Abdul Ahmed, MD

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1376830109

  OR

  Medicare reassignment NPD
• Rachel Kathleen Moore, PA-C

  • Physician Assistant
  • Portland, OR
  • NPI 1184286031
  Medicare reassignment
• Rehan Shah, MD

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1255521332
  NPD (past) Authorized official

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1194535997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610610516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204103",
            "telephone_number": "503-334-2332",
            "fax_number": "503-334-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIORENAL VISION FOR OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "REHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-334-2332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Carder
• Lisa Marie Neitzel Carder, M.A.
• Adrienne Cardiel, QMHP, MSW, LCSW
• Cardinal Chiropractic, PC
• Cardinal Family Medicine, LLC
• Lorelynn Mirage Cardo, PHD
• Gina Teresa Cardona, CNM
• Jessica Cardone
• Casey Naimat Cardoso, EP-C, EIM, LMT
• Gianna Carducci

• Nephrology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Nephrology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.