Khuram Ameen, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Springfield, OR
NPI 1881600450 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1881600450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- MD23028 (OR)
- Practice address
- 3355 Riverbend Dr
Suite 240
Springfield, OR 97477-8800 - Phone
- (541) 687-1712
- Fax
- (541) 687-7943
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Peacehealth Medical Group
Practice addresses (Care Compare)
3125 Chad Dr
Suite 100
Eugene, OR 97408-7440
Phone (541) 687-1712
Hospital & facility affiliations
- Sacred Heart Medical Center - Riverbend
- Peace Harbor Medical Center
- Bay Area Hospital
- Mercy Medical Center
- Peacehealth Cottage Grove Community Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050304000824 | OR | Practitioner - Pulmonary Disease |
6406800192 | |
| I20220915003935 | OR | Practitioner - Critical Care (Intensivists) | 6406800192 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23028 | OR | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Medical Group | Current |
Accepting new patients | |
| Peacehealth | Current |
Accepting new patients | |
| Peacehealth Medical Group | Current |
Accepting new patients | |
| Sound Physicians Intensivists of Washington PLLC | Critical Care Medicine | Current |
Accepting new patients |
| Peacehealth | Past | Accepting new patients |
Locations
3125 Chad Dr
Ste 100
Eugene, OR 97408
Phone (541) 687-1712
4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300
2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154
3355 Riverbend Dr
Ste 240
Springfield, OR 97477
Phone (541) 687-1712
1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253
Interoperability endpoints
- kameen@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD23028 | OR | |
| Pulmonary Disease Physician | 207RP1001X | MD23028 | OR | Yes |
Addresses
Primary practice location
3355 Riverbend Dr
Suite 240
Springfield, OR 97477-8800
Mailing address
3125 Chad Dr Ste 100
Eugene, OR 97408-7440
Phone (541) 687-1712
Other practice location 1
3125 Chad Dr Ste 100
Eugene, OR 97408-7440
Phone (541) 687-1712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287123 | Medicaid | OR |
Other providers in Springfield, OR
- Eric B Allard
- Jewel Lynn-Redbird Allen
- Krista Rae Allen
- Monica Jean Allen
- Stina Ann Altheide
- Patricia Amell
- American Heritage in Home Care
- Stephan Anthony Ames
- Amsurg Springfield Anesthesia LLC
- Cora Louise Amundson
All providers in Springfield, OR · Pulmonary Disease Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.