NPIMap

Individual provider Active NPI

Jordi X Kellogg, MD

  • Neurological Surgery Physician
  • Portland, OR
National Provider Identifier
1669415964
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD22765 Issued in OR
Practice address
9200 SE 91St Ave
Suite 340
Portland, OR 97086-3756
Phone
(503) 256-1462
Fax
(503) 257-9523
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD22765 OR Primary

Addresses

Primary practice location

9200 SE 91St Ave
Suite 340
Portland, OR 97086-3756

Mailing address

9200 SE 91St Ave
Suite 340
Portland, OR 97086-3756
Phone (503) 256-1462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326001286 OR Practitioner - Neurosurgery 5496645665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Southern California Keck School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9200 SE 91St Ave
Portland, OR 97086-3756
Phone (503) 256-1462

Hospital & facility affiliations

  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038
  • Adventist Health Portland Hospital, Portland, OR, CCN 380060
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050
  • Legacy Salmon Creek Medical Center Hospital, Vancouver, WA, CCN 500150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion31
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD22765ORMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurospine Group Neurological Surgery CurrentSince Feb 1, 2026 Accepting new patients
Transform Health LLC Current Accepting new patients
Jordi X Kellogg MD PC Neurological Surgery CurrentSince Sep 24, 2001 Accepting new patients
Northwest Spine and Laser Surgery Center LLC Past Accepting new patients

Locations

74B Centennial Loop
Ste 300
Eugene, OR 97401
Phone (541) 393-0925

74B Centennial Loop
Ste 100
Eugene, OR 97401
Phone (541) 686-3791

9200 SE 91st Ave
Ste 340
Portland, OR 97086
Phone (503) 256-1462

10000 SE Main St
Ste 305
Portland, OR 97216
Phone (503) 256-1462

8995 SW Miley Rd
Ste 204
Wilsonville, OR 97070
Phone (503) 539-2964

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/262894/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jordi.kellogg.p1@direct.kelloggbrainspine.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1669415964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "SUITE 340",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "503-256-1462",
            "fax_number": "503-257-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "SUITE 340",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "503-256-1462",
            "fax_number": "503-257-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "JORDI",
        "middle_name": "X",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD22765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.