Active NPI
Kelly S Perlewitz, MD
- Medical Oncology Physician
- Newberg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD27666
- Practice address
- 1003 Providence Dr
Ste 310
Newberg, OR 97132-7521 - Phone
- (503) 537-6040
- Fax
- (503) 537-6045
- NPI assigned
- Apr 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | MD27666 | OR | Primary |
Addresses
Primary practice location
1003 Providence Dr
Ste 310
Newberg, OR 97132-7521
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500623185 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kperlewitz109729@oc.providencedirect.org |
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
- Medical Oncology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Division St
Suite 220
Oregon City, OR 97045-1527
Phone (503) 513-1900
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111
Hospital & facility affiliations
- Providence Hospice
- Providence Portland Medical Center
- Providence Newberg Medical Center
- Providence St Vincent Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550
810 12th St
Hood River, OR 97031
Phone (541) 386-3911
1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661
1003 N Providence Dr
Ste 310
Newberg, OR 97132
Phone (503) 216-6300
1000 N Providence Dr
Ste 310
Newberg, OR 97132
Phone (503) 537-6040
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
1500 Division St
Ste 220
Oregon City, OR 97045
Phone (503) 216-6407
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
10330 SE 32nd Ave
Ste 205
Portland, OR 97222
Phone (503) 513-8950
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
Interoperability endpoints
- kperlewitz109729@oc.providencedirect.org
Organizations & group practices 16
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
- Clinical Pathology Physician
- Hood River, OR
- NPI 1053862714
-
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
-
- Clinical Pathology Physician
- Oregon City, OR
- NPI 1003368911
-
- Clinical Pathology Physician
- Newberg, OR
- NPI 1174074868
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
- Rural Health Clinic/Center
- Hood River, OR
- NPI 1073100095
-
- Clinical Pathology Physician
- Seaside, OR
- NPI 1093266769
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
-
- Community Based Hospice Care Agency
- Portland, OR
- NPI 1205924313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1508086067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494",
"fax_number": "503-215-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 PROVIDENCE DR",
"address_2": "STE 310",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971327521",
"telephone_number": "503-537-6040",
"fax_number": "503-537-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLEWITZ",
"first_name": "KELLY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "OR",
"license": "MD27666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500623185",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kperlewitz109729@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1000 N Providence Dr Ste 310",
"city": "Newberg",
"state": "OR",
"country_code": "US",
"postal_code": "971327582",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.