Individual provider Active NPI

Chidubem Godwin Ugwueze, MD

  • Diagnostic Radiology Physician
  • Portland, OR
National Provider Identifier
1841714029
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD215778 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-7660
Fax
(503) 494-4258
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 215778 OR
Diagnostic Radiology Physician 2085R0202X MD215778 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230519000439 OR Practitioner - Interventional Radiology 1658617899 Reassigns benefits to 6 organizations
I20260518003189 CA Practitioner - Interventional Radiology 1658617899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
University of Southern California Keck School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sol Radiology IncGroup PAC ID 1850796681, 66 clinicians
Legacy Meridian Park HospitalGroup PAC ID 5092609842, 113 clinicians
Legacy Mount Hood Medical CenterGroup PAC ID 3173515996, 58 clinicians
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians
Tuality Medical Group LLCGroup PAC ID 7416173414, 289 clinicians

Practice addresses (Care Compare)

13250 Foothill Blvd
Unit 4114
Rancho Cucamonga, CA 91739-9633
Phone (760) 728-1900

19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 413-4330

2222 NW Lovejoy St
Suite 505
Portland, OR 97210-5103
Phone (503) 413-4330

24988 SE Stark St
Suite 220
Gresham, OR 97030-8324
Phone (503) 674-1580

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111

501 N Graham St
Suite 355
Portland, OR 97227-2005
Phone (503) 413-2560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
76.53

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD215778ORMDDiagnostic Radiology Physician
215778ORMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Mount Hood Medical Center CurrentSince Jun 20, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince May 9, 2023 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Jun 20, 2023 Accepting new patients
University Professional Services CurrentSince Jul 11, 2023 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Jun 20, 2023 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Jun 20, 2023 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Meridian Park Hospital CurrentSince Jun 20, 2023 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Jun 20, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Tuality Medical Group LLC CurrentSince Aug 1, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince May 9, 2023 Accepting new patients
University Professional Services CurrentSince Jul 11, 2023 Accepting new patients
Tuality Medical Group LLC CurrentSince Aug 1, 2025 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

24988 SE Stark St
Ste 220
Gresham, OR 97030
Phone (503) 674-1580

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

2222 NW Lovejoy St
Ste 505
Portland, OR 97210
Phone (503) 226-4091

501 N Graham St
Ste 355
Portland, OR 97227
Phone (503) 413-2560

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

Interoperability endpoints

  • Direct secure messaging: cugwueze163701@direct.ohsu.edu

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1841714029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7660",
            "fax_number": "503-494-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7660",
            "fax_number": "503-494-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGWUEZE",
        "first_name": "CHIDUBEM",
        "middle_name": "GODWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OR",
            "license": "215778",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD215778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.