Active NPI
Albert Henry Khine, M.D.
- Gastroenterology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD27723
- Practice address
- 800 SW 13TH Ave
Portland, OR 97205-1902 - Phone
- (503) 221-0161
- Fax
- (503) 274-1697
- NPI assigned
- Oct 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hepatology Physician | 207RI0008X | MD27723 | OR | |
| Gastroenterology Physician | 207RG0100X | MD27723 | OR | Primary |
Addresses
Primary practice location
800 SW 13TH Ave
Portland, OR 97205-1902
Mailing address
800 SW 13TH Ave
Portland, OR 97205-1902
Phone (503) 221-0161
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akhine1710@direct.theportlandclinic.net |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080212000651 | OR | Practitioner - Gastroenterology | 6406939560 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Georgetown University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Portland Clinic
Practice addresses (Care Compare)
15950 SW Millikan Way
Beaverton, OR 97003-5170
Phone (503) 646-0161
5005 NE Sandy Blvd
Portland, OR 97213-1941
Phone (503) 233-6940
800 SW 13TH Ave
Portland, OR 97205-1902
Phone 50322101612110
9250 SW Hall Blvd
Tigard, OR 97223-6721
Phone (503) 293-0161
Hospital & facility affiliations
- Legacy Good Samaritan Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 51 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Portland Clinic Laboratory | Current | Accepting new patients | |
| Portland Clinic | Current | Accepting new patients |
Locations
800 SW 13th Ave
Portland, OR 97205
Phone (503) 221-0161
9250 SW Hall Blvd
Tigard, OR 97223
Phone (503) 221-0161
9100 SW Oleson Rd
Tigard, OR 97223
Phone (503) 445-9066
Interoperability endpoints
- akhine31760@theportlandclinic.gardenplot.direct-ci.com
- akhine1710@direct.theportlandclinic.net
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.
-
- Ambulatory Surgical Clinic/Center
- Tigard, OR
- NPI 1508040486
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1053448795
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1386720274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SW 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051902",
"telephone_number": "503-221-0161",
"fax_number": "503-274-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SW 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051902",
"telephone_number": "503-221-0161",
"fax_number": "503-274-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHINE",
"first_name": "ALBERT",
"middle_name": "HENRY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "OR",
"license": "MD27723",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OR",
"license": "MD27723",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akhine1710@direct.theportlandclinic.net",
"affiliation": "N",
"address_1": "800 SW 13th Ave",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972051902",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 16, 2020; 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.