Individual provider Active NPI

Kelly Kuo, M.D.

  • Obstetrics & Gynecology Physician
  • Portland, OR
National Provider Identifier
1477871937
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
161929 Issued in MT
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 418-4200
Fax
(503) 494-4473
NPI assigned
May 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X MD170729 OR
Obstetrics & Gynecology Physician 207V00000X MD60841044 WA
Obstetrics & Gynecology Physician 207V00000X 161929 MT Primary
Maternal & Fetal Medicine Physician 207VM0101X MD170729 OR
Maternal & Fetal Medicine Physician 207VM0101X MD60841044 WA

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 418-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, MO, AL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150915003520 OR Practitioner - Obstetrics/Gynecology 5698990836 Reassigns benefits to 3 organizations
I20190520002107 WA Practitioner - Obstetrics/Gynecology 5698990836 Reassigns benefits to 1 organization
I20250819004615 MO Practitioner - Obstetrics/Gynecology 5698990836 Reassigns benefits to 1 organization
I20260507003044 AL Practitioner - Obstetrics/Gynecology 5698990836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18639 Pilkington Rd
Lake Oswego, OR 97035-8124

901 E 104TH St
Kansas City, MO 64131-4517

PO Box
Suite 21007
Huntsville, AL 35813

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161929MTMDObstetrics & Gynecology Physician
MD60841044WAMDMaternal & Fetal Medicine Physician
MD170729ORMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Medical Group LLC CurrentSince Oct 1, 2020 Accepting new patients
Legacy Clinics LLC Maternal & Fetal Medicine CurrentSince Nov 30, 2020 Accepting new patients
Saint Luke's Physician Group Inc CurrentSince Jul 31, 2025 Accepting new patients
Tuality Medical Group LLC CurrentSince Oct 1, 2020 Accepting new patients
Legacy Salmon Creek Hospital Obstetrics & Gynecology CurrentSince Nov 30, 2020 Accepting new patients
Billings Clinic CurrentSince Oct 22, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Nov 30, 2020 Accepting new patients
Billings Clinic Past Accepting new patients
Good Shepherd Health Care System Past Accepting new patients

Locations

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752

4320 Wornall Rd
Ste 336
Kansas City, MO 64111
Phone (816) 932-6100

301 NE Mulberry St
Ste 202
Lees Summit, MO 64086
Phone (816) 251-5710

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

300 N Graham St
Ste 100
Portland, OR 97227
Phone (503) 413-1122

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

2101 NE 139th St
Ste 260
Vancouver, WA 98686
Phone (360) 487-2870

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: kkuo504790@direct.lhs.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1273276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1477871937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-418-4200",
            "fax_number": "503-494-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-418-4200",
            "fax_number": "503-494-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "KELLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-08",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OR",
            "license": "MD170729",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60841044",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "161929",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OR",
            "license": "MD170729",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WA",
            "license": "MD60841044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.