Active NPI
Kimberly Hutchison, MD
- Neurology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD155845
- Practice address
- 3181 SW Sam Jackson Park Rd
Ohsu, Neurology CR 120
Portland, OR 97239 - Phone
- (503) 494-7772
- NPI assigned
- Oct 9, 2006
- Last updated
- Oct 3, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD155845 | OR | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | MD155845 | OR |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Ohsu, Neurology CR 120
Portland, OR 97239
Mailing address
3181 SW Sam Jackson Park Rd
Ohsu, Neurology CR 120
Portland, OR 97239-3011
Phone (503) 494-7772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MP
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2000
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 SW 5TH Ave
Suite 500
Portland, OR 97201-5537
15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone (503) 494-3442
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
3303 S Bond Ave
Portland, OR 97239-4501
Phone (503) 494-8311
Bri BLDG Kopa Di Oru St Garapan
Suite 103
Saipan, MP 96950
Phone (671) 649-8746
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- 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 |
|---|---|---|---|
| MD155845 | OR | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| Tri Corporation | Current | Accepting new patients | |
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| Medical Solutions, LLC. | Current | Accepting new patients | |
| University Professional Services | Past | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3181 SW Sam Jackson Park Rd
#120
Portland, OR 97239
Phone (503) 494-5236
3303 S Bond Ave
Portland, OR 97239
Phone (503) 494-3151
Interoperability endpoints
- khutchisonmd74699@direct.ohsu.edu
Organizations & group practices 12
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.
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
dba Hillsboro Medical Center
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saipan, MP
- NPI 1285858290
-
dba Medikun Familia
- Sleep Disorder Diagnostic Clinic/Center
- Saipan, MP
- NPI 1982958336
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
dba OHSU Home Infusion Pharmacy
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
dba OHSU Intercultural Psychiatric Program
- Adult Mental Health Clinic/Center
- Portland, OR
- NPI 1750753687
-
dba Rota Health Center
- Rural Health Clinic/Center
- Rota, MP
- NPI 1679097315
-
- General Acute Care Hospital
- Saipan, MP
- NPI 1871616292
-
dba University Professional Services in Medford
- Pediatrics Physician
- Medford, OR
- NPI 1225282122
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1689761710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "OHSU, NEUROLOGY CR 120",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "OHSU, NEUROLOGY CR 120",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHISON",
"first_name": "KIMBERLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-09",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "MD155845",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "OR",
"license": "MD155845",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 3, 2013; 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.