Individual provider Active NPI

Ashwaan Amman Uddin, MD

  • Neurology Physician
  • Portland, OR
National Provider Identifier
1568090058
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD221176 Issued in OR
Practice address
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone
(503) 413-6166
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2024-01761 NC
Neurology Physician 2084N0400X MD221176 OR Primary
Neurology Physician 2084N0400X 35.151044 OH
Neurology Physician 2084N0400X 101680 GA
Neurology Physician 2084N0400X MD61560223 WA
Neurology Physician 2084N0400X 4301512195 MI
Neurology Physician 2084N0400X 0101282528 VA
Neurology Physician 2084N0400X ME168230 FL
Neurology Physician 2084N0400X 71576 TN
Neurology Physician 2084N0400X 2024032529 MO

Addresses

Primary practice location

2801 N Gantenbein Ave
Portland, OR 97227-1623

Mailing address

PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900

Other practice location 1

16000 Johnston Memorial Dr
Abingdon, VA 24211-7659
Phone (276) 258-1000

Other practice location 2

11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Other practice location 3

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9437

Other practice location 4

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111

Other practice location 5

1201 E Michigan Ave Ste 240
Jackson, MI 49201-1855
Phone (517) 205-7620

Other practice location 6

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 7

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 8

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Other practice location 9

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Other practice location 10

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 11

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100

Other practice location 12

111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 641-7700

Other practice location 13

2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

Other practice location 14

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-2840

Other practice location 15

127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (276) 546-5212

Other practice location 16

58 Carroll St
Lebanon, VA 24266-4510
Phone (276) 883-8000

Other practice location 17

100 15th St NW
Norton, VA 24273-1616
Phone (276) 439-1000

Other practice location 18

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 19

1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5070

Other practice location 20

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 21

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

Other practice location 22

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000

Other practice location 23

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000

Other practice location 24

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address auddin917556@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, ND, OR, NY, MI, VA7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20240617002960 FL Practitioner - Neurology 4486078573 Reassigns benefits to 3 organizations
I20240916003665 OH Practitioner - Neurology 4486078573 Reassigns benefits to 1 organization
I20240924003544 ND Practitioner - Neurology 4486078573 Reassigns benefits to 2 organizations
I20241126002680 OR Practitioner - Neurology 4486078573 Reassigns benefits to 2 organizations
I20250106000114 NY Practitioner - Neurology 4486078573 Reassigns benefits to 5 organizations
I20251223003870 MI Practitioner - Neurology 4486078573 Reassigns benefits to 1 organization
I20260605000237 VA Practitioner - Neurology 4486078573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Kansas School of Med (KC/Wich/Sal), 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Design Neuroscience Center PLGroup PAC ID 9032110192, 23 clinicians

Practice addresses (Care Compare)

1201 E Michigan Ave
240 Henry Ford Allegiance Neurology
Jackson, MI 49201-1852
Phone (517) 205-7620

21110 Biscayne Blvd
Suite 201
Aventura, FL 33180-1251
Phone (305) 653-5155

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301512195MIMDNeurology Physician
35.151044OHMDNeurology Physician
MD221176ORMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc CurrentSince Dec 1, 2025 Accepting new patients
Altru Health System CurrentSince Aug 22, 2024 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Dec 1, 2024 Accepting new patients
Silverton Health CurrentSince Nov 18, 2024 Accepting new patients
St Charles Hospital Corp CurrentSince Dec 1, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Nov 18, 2024 Accepting new patients
Altru Health System Current Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Sep 1, 2024 Accepting new patients
St. Alexius Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Silverton Health CurrentSince Nov 18, 2024 Accepting new patients
Silverton Health Current Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
St Alexius Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Mercy Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Nchmd Inc Current Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Jul 23, 2024 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Jun 1, 2024 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Design Neuroscience Center PL CurrentSince Mar 11, 2025 Accepting new patients
Nchmd, Inc CurrentSince Jun 1, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc Neurology CurrentSince Dec 1, 2025 Accepting new patients
St. Joseph Hospital CurrentSince Dec 1, 2024 Accepting new patients
Altru Health System CurrentSince Aug 22, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations (25 of 28)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

21110 Biscayne Blvd
Ste 201
Miami, FL 33180
Phone (305) 653-5155

14400 NW 77th Ct
Ste 306
Miami Lakes, FL 33016
Phone (305) 653-5155

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

1201 E Michigan Ave
Ste 240
Jackson, MI 49201
Phone (517) 205-1591

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

Interoperability endpoints

  • Direct secure messaging: ashwaan.uddin@hca3.eclinicaldirectplus.com

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 2

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1568090058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
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            "city": "PORTLAND",
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            "fax_number": "503-413-3710"
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            "telephone_number": "503-413-6166"
        }
    ],
    "practiceLocations": [
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            "address_1": "16000 Johnston Memorial Dr",
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            "telephone_number": "276-258-1000",
            "country_name": "United States",
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        {
            "address_1": "11215 Metro Pkwy Ste 100",
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            "telephone_number": "239-208-2212",
            "country_name": "United States",
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        {
            "address_1": "200 Hawthorne Ln",
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            "city": "Charlotte",
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            "country_code": "US",
            "telephone_number": "704-384-9437",
            "country_name": "United States",
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        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
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            "country_code": "US",
            "telephone_number": "276-523-3111",
            "country_name": "United States",
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        {
            "address_1": "1201 E Michigan Ave Ste 240",
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            "country_code": "US",
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            "fax_number": "517-205-7619",
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        {
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            "country_name": "United States",
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        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Med Tech Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042277",
            "country_code": "US",
            "telephone_number": "423-302-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2000",
            "fax_number": "513-867-2119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Shady St",
            "address_purpose": "LOCATION",
            "city": "Mountain City",
            "state": "TN",
            "postal_code": "376832021",
            "country_code": "US",
            "telephone_number": "423-727-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "278862011",
            "country_code": "US",
            "telephone_number": "252-641-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Clay Edwards Dr Ste 1235",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163276",
            "country_code": "US",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661608500",
            "country_code": "US",
            "telephone_number": "913-588-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Health Care Dr",
            "address_purpose": "LOCATION",
            "city": "Pennington Gap",
            "state": "VA",
            "postal_code": "242772853",
            "country_code": "US",
            "telephone_number": "276-546-5212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664510",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 15th St NW",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731616",
            "country_code": "US",
            "telephone_number": "276-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Main St",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693657",
            "country_code": "US",
            "telephone_number": "423-733-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Elk Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432874",
            "country_code": "US",
            "telephone_number": "423-542-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Locust St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572407",
            "country_code": "US",
            "telephone_number": "423-921-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "ASHWAAN",
        "middle_name": "AMMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2024-01761",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD221176",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.151044",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "101680",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61560223",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301512195",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101282528",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME168230",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "71576",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2024032529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "auddin917556@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.