Individual provider Active NPI

Jonathan Robert Kemp, MD

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1245212901
Registry record updated Feb 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD21001 Issued in OR
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

Updated by the provider on Feb 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
150956MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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
I20100211000361 OR Practitioner - Ophthalmology 4880682350 Reassigns benefits to 1 organization
I20250409002953 WA Practitioner - Ophthalmology 4880682350 Reassigns benefits to 1 organization

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 PCGroup PAC ID 9234039926, shared by 19 NPIs, 72 clinicians

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 100Reported as group
Quality
85.23
Promoting interoperability
100
Improvement activities
40
Cost
77.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery256

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Northwest P.C. Ophthalmology CurrentSince Jul 1, 1998 Accepting new patients
Eye Health Northwest, PC Ophthalmology CurrentSince Apr 1, 2025 Accepting new patients
Eye Health Northwest, PC Ophthalmology CurrentSince Jul 1, 1998 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

  • Direct secure messaging: jonathan.kemp@direct.ehnpc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.