Kenneth J Meigs Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO18453 Issued in OR

Practice address

15 82ND Dr Ste 100
Gladstone, OR 97027-2550

Phone

(503) 831-9231

Fax

(503) 656-8080

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR, WA2 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

Specialty

Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Royal Hospice Care Hospice, West Linn, OR, CCN 381586
• Adventist Health Portland Hospital, Portland, OR, CCN 380060

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• CSM LLC

  • Community Based Hospice Care Agency
  • West Linn, OR
  • NPI 1588258925

  Contracted Managing Employee

  CMS ownership

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.

• Kenneth Meigs DO LLC

  • Primary Care Clinic/Center
  • Gladstone, OR
  • NPI 1679294136
  Medicare reassignment NPD Authorized official

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

• CSM LLC

  • Community Based Hospice Care Agency
  • West Linn, OR
  • NPI 1588258925
  Care Compare affiliation
• Portland Adventist Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1801887658
  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1881783090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 82ND DR STE 100",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272550",
            "telephone_number": "503-831-9231",
            "fax_number": "503-656-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 82ND DR STE 100",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272550",
            "telephone_number": "503-831-9231",
            "fax_number": "503-656-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIGS",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO18453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071410",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "819827000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina L Mataya, NTP
• Ian Patrick McHugh
• Katelyn McMillan
• Stanley Charles McNeil, PSY.D.
• James Patrick Meagher Jr., RPH.
• Chase S Melby
• Amy Elizabeth Melchior, FNP
• Meron Teshome Mengesha
• Julianna Meshelle, RD, LD
• Blake Ashley Middleton, LMT, CA

• Family Medicine Physician in Gladstone, OR
• Providers in Gladstone, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.