Active NPI
Michael Joseph Kilbourne, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD196653
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-7820
- Fax
- (503) 494-7829
- NPI assigned
- Jul 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD196653 | OR | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD61116993 | WA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD196653 | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537
Other practice location 1
200 NE Mother Joseph Pl Ste 320
Vancouver, WA 98664-3205
Phone (360) 514-6300
Other practice location 2
9040 Jackson Ave
Tacoma, WA 98431-3098
Phone (253) 968-3885
Other practice location 3
1061 Harmon Avenue
Fort Stewart, GA 31314-5674
Phone (912) 435-5516
Other practice location 4
4700 Waters Ave Ste 400
Savannah, GA 31404-6220
Phone (912) 273-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10000 SE Main St
Suite 365
Portland, OR 97216-2474
Phone (503) 261-4430
200 NE Mother Joseph PL
Suite 320
Vancouver, WA 98664-3205
Phone (360) 514-6300
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 18 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Portland Adventist Medical Center | Surgery | Current | Accepting new patients |
| Peacehealth | Surgery | Current | Accepting new patients |
| University Professional Services | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| MPPG, Inc. | Surgery | Current | Accepting new patients |
| University Professional Services | Current | Accepting new patients | |
| Oregon Health & Science University | Past | Accepting new patients | |
| University Professional Services | Past | Accepting new patients |
Locations
1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
4700 Waters Ave
Ste 400
Savannah, GA 31404
Phone (912) 273-1100
4731 Waters Ave
Savannah, GA 31404
Phone (912) 350-4905
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880
14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3303 S Bond Ave
Portland, OR 97239
Phone (503) 494-3151
3181 SW Sam Jackson Park Rd
#L353
Portland, OR 97239
Phone (503) 494-4190
10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355
10000 SE Main St
Ste 365
Portland, OR 97216
Phone (503) 261-4430
1400 SW 5th Ave
Ste 500
Portland, OR 97201
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
200 NE Mother Joseph Pl
Ste 320
Vancouver, WA 98664
Phone (360) 514-6300
505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854
Interoperability endpoints
- mkilbourne123626@direct.ohsu.edu
Organizations & group practices 13
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.
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
- Surgery Physician
- Vancouver, WA
- NPI 1609061969
-
- Family Medicine Physician
- Portland, OR
- NPI 1215910302
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Emergency Medical Services (Emergency Medicine) Physician
- Portland, OR
- NPI 1316502719
-
- Anesthesiology Physician
- Portland, OR
- NPI 1437925310
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
- Adult Mental Health Clinic/Center
- Portland, OR
- NPI 1750753687
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1235442682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SW 5TH AVE STE 500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-7820",
"fax_number": "503-494-7829"
}
],
"practiceLocations": [
{
"address_1": "200 NE Mother Joseph Pl Ste 320",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986643205",
"country_code": "US",
"telephone_number": "360-514-6300",
"fax_number": "360-514-6301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9040 Jackson Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984313098",
"country_code": "US",
"telephone_number": "253-968-3885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1061 Harmon Avenue",
"address_purpose": "LOCATION",
"city": "Fort Stewart",
"state": "GA",
"postal_code": "313145674",
"country_code": "US",
"telephone_number": "912-435-5516",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4700 Waters Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314046220",
"country_code": "US",
"telephone_number": "912-273-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILBOURNE",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-14",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD196653",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WA",
"license": "MD61116993",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OR",
"license": "MD196653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.