Active NPI
Jonathan Robert Kemp, MD
- Ophthalmology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD21001
- Practice address
- 10819 SE Stark St
Suite 200
Portland, OR 97216-3161 - Phone
- (503) 255-2291
- Fax
- (503) 252-1797
- NPI assigned
- Nov 17, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD21001 | OR | Primary |
Addresses
Primary practice location
10819 SE Stark St
Suite 200
Portland, OR 97216-3161
Mailing address
PO Box 22009
Portland, OR 97269-2009
Phone (503) 558-7372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150956 | Medicaid | OR |
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
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- State University of New York at Buffalo School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Health Northwest PC
Practice addresses (Care Compare)
10819 SE Stark
Suite 200
Portland, OR 97216-3161
Phone (503) 255-2291
11086 SE Oak St
Milwaukie, OR 97222-6692
Phone (503) 656-4221
24601 SE Stark St
Troutdale, OR 97060-3355
Phone (503) 255-2291
2501 NE 134TH St
Suite 105
Vancouver, WA 98686-3027
Phone (360) 208-8472
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.25
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 256 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Health Northwest P.C. | Ophthalmology | Current | Accepting new patients |
| Eye Health Northwest, PC | Ophthalmology | Current | Accepting new patients |
| Eye Health Northwest, PC | Ophthalmology | Current | Accepting new patients |
Locations
10819 SE Stark St
Ste 200
Portland, OR 97216
Phone (503) 255-2291
6701 NE Glisan St
Portland, OR 97213
Phone (503) 255-2291
11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020
5050 NE Hoyt St
Ste 445
Portland, OR 97213
Phone (503) 231-0166
10819 SE Stark St
Portland, OR 97216
Phone (503) 255-2291
24601 SE Stark St
Troutdale, OR 97060
Phone (503) 344-5102
2501 NE 134th St
Ste 105
Vancouver, WA 98686
Phone (360) 208-8472
Interoperability endpoints
- jonathan.kemp@direct.ehnpc.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jkemp154555@direct.ohsu.edu
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Milwaukie, OR
- NPI 1619959731
-
- Ophthalmology Physician
- Vancouver, WA
- NPI 1144030875
-
- Ophthalmology Physician
- Portland, OR
- NPI 1992397426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613779200000",
"number": "1245212901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22009",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972692009",
"telephone_number": "503-558-7372",
"fax_number": "503-344-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10819 SE STARK ST",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972163161",
"telephone_number": "503-255-2291",
"fax_number": "503-252-1797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "JONATHAN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2021-02-20",
"certification_date": "2021-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OR",
"license": "MD21001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150956",
"state": "OR"
}
],
"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 Feb 20, 2021; 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.