Individual provider Active NPI

Kun Ding

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1922637503
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD219271 Issued in OR
Practice address
9555 SW Barnes Rd Ste 100
Portland, OR 97225-6668
Phone
(503) 227-2020
Fax
(503) 296-9934
NPI assigned
Apr 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD219271 OR Primary

Addresses

Primary practice location

9555 SW Barnes Rd Ste 100
Portland, OR 97225-6668

Mailing address

PO Box 22009
Portland, OR 97269-2009
Phone (503) 558-7372

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240401002777 OR Practitioner - Ophthalmology 3173961828 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Northwest PCGroup PAC ID 9234039926, 72 clinicians

Practice addresses (Care Compare)

9555 SW Barnes Rd
Suite 100
Portland, OR 97225-6668
Phone (503) 296-9933

Hospital & facility affiliations

  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 18, 2024 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 18, 2024 Accepting new patients
Eye Health Northwest, PC Ophthalmology CurrentSince Oct 1, 2025 Accepting new patients
Eye Health Northwest P.C. Ophthalmology CurrentSince Oct 1, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Mar 18, 2024 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Mar 18, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients

Locations

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

1955 NW Northrup St
Portland, OR 97209
Phone (503) 227-2020

9555 SW Barnes Rd
Ste 100
Portland, OR 97225
Phone (503) 227-2020

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

11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

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

300 N Graham St
Ste 300
Portland, OR 97227
Phone (503) 280-3620

15298 SW Royalty Pkwy
Tigard, OR 97224
Phone (503) 620-0721

Interoperability endpoints

  • Direct secure messaging: kun.ding@direct.ehnpc.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1922637503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22009",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972692009",
            "telephone_number": "503-558-7372",
            "fax_number": "503-344-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256668",
            "telephone_number": "503-227-2020",
            "fax_number": "503-296-9934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-3000",
            "fax_number": "503-494-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DING",
        "first_name": "KUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-05",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD219271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.