Individual provider Active NPI

Kameron Ferdowsali, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Vancouver, WA
National Provider Identifier
1609074210
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD.60710718 Issued in WA
Practice address
200 NE Mother Joseph PL Ste 330
Vancouver, WA 98664-3288
Phone
(360) 514-2990
Fax
(503) 386-2239
NPI assigned
Jul 5, 2007
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12745 NV
Critical Care Medicine (Internal Medicine) Physician 207RC0200X M-15137 ID
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 9136402-1205 UT
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD.60710718 WA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 12745 NV

Addresses

Primary practice location

200 NE Mother Joseph PL Ste 330
Vancouver, WA 98664-3288

Mailing address

2206 NE 169TH Cir
Ridgefield, WA 98642-5683
Phone (775) 233-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WA, ID, UT, MT, OR, CA, CO9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20080715000562 NV Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 5496828097 Reassigns benefits to 1 organization
I20170412002253 WA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 5496828097 Reassigns benefits to 2 organizations
I20200520001582 ID Practitioner - Hospitalist 5496828097 Reassigns benefits to 1 organization
I20200604001322 UT Practitioner - Critical Care (Intensivists) 5496828097 Reassigns benefits to 1 organization
I20201210003004 MT Practitioner - Hospitalist 5496828097 Reassigns benefits to 1 organization
I20201214002984 MT Practitioner - Critical Care (Intensivists) 5496828097 Reassigns benefits to 1 organization
I20250408001396 OR Practitioner - Critical Care (Intensivists) 5496828097 Reassigns benefits to 2 organizations
I20251010003539 CA Practitioner - Critical Care (Intensivists) 5496828097 Reassigns benefits to 1 organization
I20260203003086 CO Practitioner - Internal Medicine 5496828097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altea Medical Oregon LLCGroup PAC ID 7315470895, 13 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Utah Regional Hospitalists LLCGroup PAC ID 4789807165, shared by 2 NPIs, 119 clinicians
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 321-4161

1250 SE Roberts Ave
Gresham, OR 97080-7846
Phone (918) 392-1702

127 NE 102ND Ave
Suite a
Portland, OR 97220-4152
Phone (541) 998-2395

2222 N Nevada Ave
Colorado Springs, CO 80907-6794
Phone (719) 776-5333

305 N Main St
Ennis, MT 59729-8001
Phone (208) 227-2575

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111

365 SW Belair Dr
Clatskanie, OR 97016-7414
Phone (503) 728-2744

505 NE 87TH Ave
Vancouver, WA 98664-1965

630 Medical Dr
Bountiful, UT 84010-4908
Phone (801) 783-5011

819 NE 122ND Ave
Portland, OR 97230-2002
Phone (503) 252-0085

8821 NE 5TH St
Vancouver, WA 98664-3200
Phone (360) 514-1900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.60710718WAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Observation Medicine Services of Colorado Inc. Critical Care Medicine CurrentSince Jan 27, 2026 Accepting new patients
Altea Medical California PC Internal Medicine CurrentSince Jul 27, 2025 Accepting new patients
Altea Medical Oregon LLC Internal Medicine CurrentSince Jan 20, 2025 Accepting new patients
Peacehealth CurrentSince May 30, 2017 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Critical Care Medicine CurrentSince Jan 27, 2026 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince Jan 9, 2025 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Apr 3, 2020 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Apr 3, 2020 Accepting new patients
Sapphire at Gresham Rehab, LLC PastSince Jan 1, 2025 Accepting new patients
Sierra Hospitalists LLC Internal Medicine Past Accepting new patients
Battleground of Cascadia LLC Past Accepting new patients
Fort Vancouver of Cascadia, LLC Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations (25 of 31)

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 473-3896

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

700 E Highland Ave
Redlands, CA 92374
Phone (909) 792-5083

3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790

9107 Davis Rd
Stockton, CA 95209
Phone (209) 478-6488

2005 River St
Susanville, CA 96130
Phone (530) 257-5341

13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033

2200 Tuolumne St
Vallejo, CA 94589
Phone (707) 644-7401

535 Auto Center Dr
Watsonville, CA 95076
Phone (831) 724-0671

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

305 N Main St
Ennis, MT 59729
Phone (406) 682-4223

1250 SE Roberts Ave
Gresham, OR 97080
Phone (503) 667-5430

530 Birch St
Junction City, OR 97448
Phone (541) 998-2395

637 Ash St
Myrtle Point, OR 97458
Phone (541) 572-2066

127 NE 102nd Ave
Ste A
Portland, OR 97220
Phone (541) 998-2395

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

Interoperability endpoints

  • Direct secure messaging: kferdowsali335265@direct.peacehealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Gresham Post Acute Care and RehabGresham, OR, CCN 385190 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 10

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1609074210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 NE 169TH CIR",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986425683",
            "telephone_number": "775-233-4480",
            "fax_number": "503-386-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MOTHER JOSEPH PL STE 330",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643288",
            "telephone_number": "360-514-2990",
            "fax_number": "503-386-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDOWSALI",
        "first_name": "KAMERON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "12745",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "ID",
            "license": "M-15137",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "UT",
            "license": "9136402-1205",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD.60710718",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "12745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.