Active NPI
Ashwaan Amman Uddin, MD
- Neurology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD221176
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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
- HCA Florida Aventura Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301512195 | MI | MD | Neurology Physician |
| 35.151044 | OH | MD | Neurology Physician |
| MD221176 | OR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Good Samaritan Hospital Medical | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| St Charles Hospital Corp | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Summit Healthcare Association | Neurology | Current | Accepting new patients |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients | |
| St Alexius Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| St. Catherine of Siena Medical Center | Current | Accepting new patients | |
| Design Neuroscience Center PL | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Neurology | Current | Accepting new patients |
| St. Joseph Hospital | Current | Accepting new patients | |
| Altru Health System | Current | 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
- 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.
-
- Neurological Surgery Physician
- Miami Lakes, FL
- NPI 1548270101
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MI
- NPI 1326078866
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Clinic/Center
- Grand Forks, ND
- NPI 1043309552
-
- Physician Assistant
- West Islip, NY
- NPI 1518901180
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1619245610
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1497765630
-
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- General Acute Care Hospital
- Smithtown, NY
- NPI 1154764819
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aventura, FL
- NPI 1407801673
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
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",
"address_type": "DOM",
"address_1": "PO BOX 3777",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083777",
"telephone_number": "503-413-3900",
"fax_number": "503-413-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 N GANTENBEIN AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271623",
"telephone_number": "503-413-6166"
}
],
"practiceLocations": [
{
"address_1": "16000 Johnston Memorial Dr",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117659",
"country_code": "US",
"telephone_number": "276-258-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11215 Metro Pkwy Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339661206",
"country_code": "US",
"telephone_number": "239-208-2212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hawthorne Ln",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042515",
"country_code": "US",
"telephone_number": "704-384-9437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1990 Holton Ave E",
"address_purpose": "LOCATION",
"city": "Big Stone Gap",
"state": "VA",
"postal_code": "242193350",
"country_code": "US",
"telephone_number": "276-523-3111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 E Michigan Ave Ste 240",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492011855",
"country_code": "US",
"telephone_number": "517-205-7620",
"fax_number": "517-205-7619",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "VA",
"postal_code": "243541100",
"country_code": "US",
"telephone_number": "276-378-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.