Active NPI
Kelvin Ka Wai NG, M.D.
- Family Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0092650
- Practice address
- 3181 SW Sam Jackson Park Rd # PV 350
Portland, OR 97239 - Phone
- (503) 494-6551
- NPI assigned
- Apr 19, 2017
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | D0092650 | MD | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd # PV 350
Portland, OR 97239
Mailing address
3181 SW Sam Jackson Park Rd # L-475
Portland, OR 97239-3011
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
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
3930 SE Division St
Portland, OR 97202-1643
Phone (503) 418-3900
4212 SE Division St
Portland, OR 97206-1681
Phone (503) 418-1500
51377 SW Old Portland Rd
Scappoose, OR 97056-4023
Phone (503) 418-4222
Hospital & facility affiliations
- Ohsu Hospital and Clinics
- Adventist Health Portland
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009642 | GA | MD | Pharmacist |
| D0092650 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Health & Science University | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Oregon Health & Science University | Current | Accepting new patients | |
| Oregon Health & Science University | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Past | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
3181 SW Sam Jackson Park Rd
#350
Portland, OR 97239
Phone (503) 494-6551
3930 SE Division St
Portland, OR 97202
Phone (503) 418-3900
4212 SE Division St
Ste 150
Portland, OR 97206
Phone (503) 418-1500
3303 S Bond Ave
Portland, OR 97239
Phone (503) 494-3151
3181 SW Sam Jackson Park Rd
#L475
Portland, OR 97239
Phone (503) 494-6551
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
51377 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 418-4222
Interoperability endpoints
- kelvin.ng@hca1.eclinicaldirectplus.com
- kng145086@direct.ohsu.edu
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Scappoose, OR
- NPI 1417969304
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1457129678
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1487902706
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1073767588
-
- Pediatrics Physician
- Medford, OR
- NPI 1225282122
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1396279014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD # L-475",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD # PV 350",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "KELVIN",
"middle_name": "KA WAI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0092650",
"primary": true
}
],
"identifiers": [],
"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 Jul 19, 2022; 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.