NPIMap

Individual provider Active NPI

Alexander S Hawkins, MD

  • Nephrology Physician
  • Portland, OR
National Provider Identifier
1770016198
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD209311 Issued in OR
Practice address
1130 NW 22ND Ave Ste 640
Portland, OR 97210-5488
Phone
(503) 229-7976
Fax
(503) 274-4867
NPI assigned
Apr 4, 2017
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD209311 OR Primary
Nephrology Physician 207RN0300X MD61047881 WA
Nephrology Physician 207RN0300X MD-24778 HI

Addresses

Primary practice location

1130 NW 22ND Ave Ste 640
Portland, OR 97210-5488

Mailing address

PO Box 3068
Portland, OR 97208-3068
Phone (503) 229-7976

Other practice location 1

10201 SE Main St Ste 27
Portland, OR 97216-2937
Phone (503) 256-0877

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
I20220712002954 OR Practitioner - Nephrology 1658643226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Texas Southwestern Medical School at Dallas, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Renal Clinic IncGroup PAC ID 8628065836, 39 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 640
Portland, OR 97210-2993
Phone (503) 229-7976

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
15.99 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
53.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-24778HIMDNephrology Physician
MD209311ORMDNephrology Physician
MD61047881WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Aug 24, 2022 Accepting new patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Aug 24, 2022 Accepting new patients
Northwest Renal Clinic, Inc. Nephrology Past Accepting new patients

Locations

10201 SE Main St
Ste 27
Portland, OR 97216
Phone (503) 256-0877

1130 NW 22nd Ave
Ste 640
Portland, OR 97210
Phone (503) 229-7976

Interoperability endpoints

  • Direct secure messaging: ahawkins42134@direct.acumenmd.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1770016198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3068",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083068",
            "telephone_number": "503-229-7976",
            "fax_number": "503-274-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE STE 640",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105488",
            "telephone_number": "503-229-7976",
            "fax_number": "503-274-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 SE Main St Ste 27",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162937",
            "country_code": "US",
            "telephone_number": "503-256-0877",
            "fax_number": "503-256-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ALEXANDER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD209311",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD61047881",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD-24778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.