Active NPI
Jean K Mathew, MD
- Nephrology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD184703
- Practice address
- 9155 SW Barnes Rd Ste 402
Portland, OR 97225-6631 - Phone
- (503) 292-7704
- Fax
- (503) 292-7046
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD60779483 | WA | |
| Nephrology Physician | 207RN0300X | MD-20812 | HI | |
| Nephrology Physician | 207RN0300X | MD184703 | OR | Primary |
Addresses
Primary practice location
9155 SW Barnes Rd Ste 402
Portland, OR 97225-6631
Mailing address
PO Box 3068
Portland, OR 97208-3068
Phone (503) 229-7976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northwest Renal Clinic Inc
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 640
Portland, OR 97210-2993
Phone (503) 229-7976
12550 SE 93Rd Ave
Suite 250
Clackamas, OR 97015-6787
Phone (503) 654-1153
4224 NE Halsey St
Suite 300
Portland, OR 97213-1568
Phone (503) 235-5509
633 Ponahawai St
Suite 103
Hilo, HI 96720-7601
Phone (808) 481-2300
9155 SW Barnes Rd
Suite 402
Portland, OR 97225-6631
Phone (503) 292-7704
Hospital & facility affiliations
- PNRS Beaverton
- PNRS Twin Oaks
- Providence St Vincent Medical Center
- Columbia Memorial Hospital
- Hilo Benioff Medical Center
- Ohsu Hospital and Clinics
- Hillsboro Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60779483 | WA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Renal Clinic, Inc. | Nephrology | Current | Accepting new patients |
| Northwest Renal Clinic, Inc. | Nephrology | Current | Accepting new patients |
| Northwest Renal Clinic, Inc. | Nephrology | Current | Accepting new patients |
Locations
633 Ponahawai St
Ste 103
Hilo, HI 96720
Phone (808) 481-2300
105 Maui Lani Pkwy
Ste 100
Wailuku, HI 96793
Phone (808) 244-9555
12550 SE 93rd Ave
Ste 250
Clackamas, OR 97015
Phone (503) 654-1153
1130 NW 22nd Ave
Ste 640
Portland, OR 97210
Phone (503) 229-7976
9155 SW Barnes Rd
Ste 402
Portland, OR 97225
Phone (503) 292-7704
Interoperability endpoints
- jmathew114733@direct.ohsu.edu
- jmathew25166@hhsc.direct-ci.com
- jmathew37102@direct.acumenmd.com
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.
-
- Nephrology Physician
- Tualatin, OR
- NPI 1679752273
-
- Nephrology Physician
- McMinnville, OR
- NPI 1346081213
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Astoria, OR
- NPI 1134146939
-
- Critical Access Hospital
- Astoria, OR
- NPI 1700809761
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1497730808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3068",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083068",
"telephone_number": "503-229-7976",
"fax_number": "503-274-4867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9155 SW BARNES RD STE 402",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256631",
"telephone_number": "503-292-7704",
"fax_number": "503-292-7046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "JEAN",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WA",
"license": "MD60779483",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "HI",
"license": "MD-20812",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OR",
"license": "MD184703",
"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 Sep 25, 2025; 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.