Individual provider Active NPI

Kaanchan Gangal, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Portland, OR
National Provider Identifier
1306041777
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
MD169696 Issued in OR
Practice address
521 SW 11TH Ave Ste 303
Portland, OR 97205-2621
Phone
(804) 269-8291
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X MD169696 OR Primary

Addresses

Primary practice location

521 SW 11TH Ave Ste 303
Portland, OR 97205-2621

Mailing address

PO Box 6486
Richmond, VA 23230-0486
Phone (804) 269-8291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, VA2 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
I20170601001920 OR Practitioner - Sleep Medicine 7911150818 Reassigns benefits to 1 organization
I20251016001110 VA Practitioner - Sleep Medicine 7911150818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sleep Clinics of America IncGroup PAC ID 6709026040, 2 clinicians
Sleep Clinics of Oregon PCGroup PAC ID 1254821572, 2 clinicians

Practice addresses (Care Compare)

5000 Monument Ave
FL 2
Richmond, VA 23230-3627
Phone (804) 269-8291

521 SW 11TH Ave
Suite 303
Portland, OR 97205-2621
Phone (804) 269-8291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD169696ORMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Clinics of America, Inc CurrentSince Aug 1, 2025 Accepting new patients
Orthopedic & Sports Medicine Center of Or LLC PastSince Apr 8, 2017 Accepting new patients

Locations

5000 Monument Ave
Fl 2
Richmond, VA 23230
Phone (804) 269-8291

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19739/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kaanchan.gangal.1@19739.direct.athenahealth.com

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1306041777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6486",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232300486",
            "telephone_number": "804-269-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 SW 11TH AVE STE 303",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052621",
            "telephone_number": "804-269-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGAL",
        "first_name": "KAANCHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "OR",
            "license": "MD169696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.