Active NPI
Jonathan Carnell, M.D.
- Body Imaging Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- MD.60550687
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316262108 | Medicaid | WA |
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
Enrollment records 1
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
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
- Providence Portland Medical Center
- Providence Milwaukie Hospital
- Providence Willamette Falls Medical Center
- Providence Hood River Memorial Hospital
- Providence Seaside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.15 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.60550687 | WA | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Specialists of the Northwest, PC | Current | 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.
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1699759498
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
-
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.