Individual provider Active NPI

Jonathan Carnell, M.D.

  • Body Imaging Physician
  • Portland, OR
National Provider Identifier
1316262108
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
MD.60550687 Issued in WA
Practice address
5050 NE Hoyt St Ste 625
Portland, OR 97213-2991
Phone
(503) 731-2900
NPI assigned
Apr 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MD.60550687 WA Primary

Addresses

Primary practice location

5050 NE Hoyt St Ste 625
Portland, OR 97213-2991

Mailing address

5050 NE Hoyt St Ste 625
Portland, OR 97213-2991
Phone (503) 731-2900

Other identifiers 1

IdentifierTypeStateIssuer
1316262108MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170809003126 OR Practitioner - Diagnostic Radiology 9436479920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Specialists of the Northwest PCGroup PAC ID 6204829963, 28 clinicians

Practice addresses (Care Compare)

10150 SE 32ND Ave
Portland, OR 97222-6516
Phone (503) 513-8300

1111 NE 99TH Ave
Portland, OR 97220-9428
Phone (503) 935-8000

1321 NE 99TH Ave
Suite 100
Portland, OR 97220-9437
Phone (503) 215-4050

1500 Division St
Oregon City, OR 97045-1527
Phone (503) 657-6704

16180 SE Sunnyside Rd
Suite 102
Clackamas, OR 97015-6302
Phone (503) 582-4900

200 S Hazel Dell Way
Canby, OR 97013-7829
Phone (503) 483-9226

440 NW Division St
Gresham, OR 97030-5506
Phone (503) 215-9500

4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-2595

4920 N Interstate Ave
Portland, OR 97217-3653
Phone (503) 215-3300

5050 NE Hoyt St
Suite 625
Portland, OR 97213-2990

5050 NE Hoyt St
Suite 625
Portland, OR 97213-2991
Phone (503) 731-2900

810 12TH St
Hood River, OR 97031-1587
Phone (541) 386-3911

9290 SE Sunnybrook Blvd
Suite 120
Clackamas, OR 97015-6802
Phone (503) 215-2110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.15 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.60550687WAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Specialists of the Northwest, PC CurrentSince Jul 10, 2017 Accepting new patients

Locations

5050 NE Hoyt St
Ste 625
Portland, OR 97213
Phone (503) 731-2900

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1316262108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST STE 625",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132991",
            "telephone_number": "503-731-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST STE 625",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132991",
            "telephone_number": "503-731-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNELL",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "WA",
            "license": "MD.60550687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316262108",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.