Oregon Kidney and Hypertension Clinic LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

OREGON KIDNEY AND HYPERTENSION CLINIC LLC

Practice address

15895 SW 72ND Ave Ste 250
Portland, OR 97224-7966

Phone

(503) 624-5630

Fax

(503) 624-9149

NPI assigned

May 2, 2024

Last updated

May 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Firas Khoury, MDNPI 1013933480

Title

Owner

Phone

(503) 867-1314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Firas George Khoury, MD

  • Nephrology Physician
  • Tigard, OR
  • NPI 1013933480
  Medicare reassignment Care Compare group NPD Authorized official
• Geoffrey Xiao, PA-C

  • Medical Physician Assistant
  • Tigard, OR
  • NPI 1790132017
  Medicare reassignment Care Compare group
• Flynn Andrew Robertson, PA-C

  • Medical Physician Assistant
  • Tigard, OR
  • NPI 1972332161
  Medicare reassignment NPD

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1881441301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15895 SW 72ND AVE STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247966",
            "telephone_number": "503-624-5630",
            "fax_number": "503-624-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15895 SW 72ND AVE STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247966",
            "telephone_number": "503-624-5630",
            "fax_number": "503-624-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON KIDNEY AND HYPERTENSION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-867-1314",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Healthcare Resources LLC (Family Medical Group NE)
• Oregon Home Care Services LLC (Fedelta Home Care)
• Oregon Injection Clinic
• Oregon Injury Evaluation Provider (Oregon Accident Care)
• Oregon Interventional Pain Consultants, LLC
• Oregon Kidney and Hypertension Clinic, LLC
• Oregon Kidney Center
• Oregon Limb & Brace LLC
• Oregon MD Alliance LLC (Precision Pain Center)
• Oregon Medical Evaluations, Inc.

• Nephrology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Nephrology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.