NPIMap

Individual provider Active NPI

Connor L Kitts, MD

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1447787833
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD199364 Issued in OR
Practice address
10201 SE Main St Ste 10a
Portland, OR 97216-2968
Phone
(503) 251-6266
Fax
(503) 261-5988
NPI assigned
May 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD199364 OR Primary
Family Medicine Physician 207Q00000X MD60994259 WA

Addresses

Primary practice location

10201 SE Main St Ste 10a
Portland, OR 97216-2968

Mailing address

10201 SE Main St Ste 10a
Portland, OR 97216-2968
Phone (503) 251-6266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817002337 OR Practitioner - Family Practice 0648522177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians

Practice addresses (Care Compare)

10123 SE Market St
Portland, OR 97216-2532
Phone (503) 251-6136

10151 SE Sunnyside Rd
Suite 100
Clackamas, OR 97015-5705
Phone (503) 659-0880

10201 SE Main St
Portland, OR 97216-2937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
84.7
Promoting interoperability
100
Improvement activities
40
Cost
79.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD199364ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center Family Medicine CurrentSince Jul 10, 2023 Accepting new patients
Portland Adventist Medical Center Family Medicine Current Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 10, 2023 Accepting new patients
Portland Adventist Medical Center CurrentSince Aug 17, 2020 Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

10201 SE Main St
Ste 10
Portland, OR 97216
Phone (503) 255-2186

10201 SE Main St
Ste 10A
Portland, OR 97216
Phone (503) 255-2186

Interoperability endpoints

  • Direct secure messaging: ckitts154571@direct.ohsu.edu

Organizations & group practices 4

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 3

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": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1447787833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 SE MAIN ST STE 10A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162968",
            "telephone_number": "503-251-6266",
            "fax_number": "503-261-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 SE MAIN ST STE 10A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162968",
            "telephone_number": "503-251-6266",
            "fax_number": "503-261-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTS",
        "first_name": "CONNOR",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD199364",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60994259",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.