Active NPI
Kevin L Dean, M.D.
- Emergency Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD26601
- Practice address
- 10123 SE Market St
Portland, OR 97216-2532 - Phone
- (503) 252-2004
- NPI assigned
- Jul 13, 2006
- Last updated
- Mar 18, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A91503 | CA | |
| Emergency Medicine Physician | 207P00000X | MD61248946 | WA | |
| Emergency Medicine Physician | 207P00000X | MD26601 | OR | Primary |
Addresses
Primary practice location
10123 SE Market St
Portland, OR 97216-2532
Mailing address
1601 Cummins Dr
Ste D
Modesto, CA 95358-6411
Phone (888) 828-3196
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XPY206686 | Medicaid | CA | |
| 210867 | Other | WA L & I | |
| 858543032 | Other | REGENCE BCBS | |
| 005942 | Medicaid | OR | |
| 8942007 | Other | WA CRIME VICTIMS | |
| P00377905 | Other | RAILROAD MEDICARE | |
| 8460289 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of California, San Francisco School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10123 SE Market St
Portland, OR 97216-2532
Phone (503) 257-2500
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000
869 N Cherry St
Tulare, CA 93274-2207
Phone (559) 688-0821
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92 of 100
- Quality
- 84.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91503 | CA | MD | Pharmacist |
| MD26601 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Portland Adventist Medical Center | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Portland Adventist Medical Center | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880
14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
Interoperability endpoints
- kdean158531@direct.ohsu.edu
Organizations & group practices 18
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.
-
dba Adventist Health Medical Group
- Family Medicine Physician
- Portland, OR
- NPI 1750091021
Emergency Medicine
-
dba Adventist Health Portland
- Family Medicine Physician
- Portland, OR
- NPI 1215910302
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
dba Adventist Health Portland
- Emergency Medical Services (Emergency Medicine) Physician
- Portland, OR
- NPI 1316502719
-
dba Adventist Health Medical Group
- Anesthesiology Physician
- Portland, OR
- NPI 1437925310
-
dba Hillsboro Medical Center Neurology Clinic
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
-
dba OHSU Home Infusion Pharmacy
- Pharmacy
- Beaverton, OR
- NPI 1073054714
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Mercy Medical Center
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
-
dba Adventist Health Portland
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
-
dba Methodist Hospital of Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1841215480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CUMMINS DR",
"address_2": "STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586411",
"telephone_number": "888-828-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10123 SE MARKET ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162532",
"telephone_number": "503-252-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "KEVIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A91503",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD61248946",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD26601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPY206686",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L & I",
"identifier": "210867",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "858543032",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005942",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA CRIME VICTIMS",
"identifier": "8942007",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00377905",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8460289",
"state": "WA"
}
],
"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 Mar 18, 2022; 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.