Individual provider Active NPI

Kishan Sunilbhai Patel, M.D.

  • Vascular Neurology Physician
  • Portland, OR
National Provider Identifier
1962889634
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
MD197231 Issued in OR
Practice address
9135 SW Barnes Rd Ste 461
Portland, OR 97225-6643
Phone
(503) 216-1150
NPI assigned
May 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD197231 OR
Neurology Physician 2084N0400X BP10053939 TX
Vascular Neurology Physician 2084V0102X MD197231 OR Primary

Addresses

Primary practice location

9135 SW Barnes Rd Ste 461
Portland, OR 97225-6643

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other practice location 1

6565 Fannin St
MGJ9-021
Houston, TX 77030-2703
Phone (713) 790-3311

Other practice location 2

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-4013

Other practice location 3

9135 SW Barnes Rd Ste 461
Portland, OR 97225-6643
Phone (503) 216-1150

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kpatel1245733@oc.providencedirect.org
Direct Messaging Address kpatel1245733@oc.providencedirect.org

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
I20200612002356 OR Practitioner - Neurology 3375878036 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services - WashingtonGroup PAC ID 2860552973, 266 clinicians
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Providence Health and Services WashingtonGroup PAC ID 0345139929, 778 clinicians
Providence Health and Services WashingtonGroup PAC ID 6709782600, 480 clinicians
Providence Health and Services- WashingtonGroup PAC ID 1557408176, 219 clinicians
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians
Providence Health and Services - OregonGroup PAC ID 9335057447, 212 clinicians

Practice addresses (Care Compare)

Beaverton, OR 97005

Portland, OR 97213

Portland, OR 97225

3580 SW Council Crest Dr
Portland, OR 97239-1485

5050 NE Hoyt St
Suite 315
Portland, OR 97213-2982
Phone (503) 215-8580

5845 SW 90TH Ave
Portland, OR 97225-1312

9205 SW Barnes Rd
Portland, OR 97225-6603

Hospital & facility affiliations

  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Providence Newberg Medical Center Hospital, Newberg, OR, CCN 380037
  • Providence Seaside Hospital Hospital, Seaside, OR, CCN 381303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10053939TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Aug 1, 2020 Accepting new patients
Providence Medical Institute CurrentSince Aug 1, 2020 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2020 Accepting new patients
Providence Health & Services Washington CurrentSince Aug 1, 2020 Accepting new patients
Providence Medical Institute CurrentSince Aug 1, 2020 Accepting new patients
Providence Health & Services Mt CurrentSince Nov 19, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 1, 2020 Accepting new patients
Swedish Health Services CurrentSince Sep 16, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2020 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services- Washington CurrentSince Aug 1, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 1, 2020 Accepting new patients
Providence Health & Services Washington CurrentSince Aug 1, 2020 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Washington CurrentSince Oct 27, 2020 Accepting new patients
Providence Health & Services- Washington CurrentSince Sep 17, 2020 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2020 Accepting new patients

Locations

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

5050 NE Hoyt St
Ste 155
Portland, OR 97213
Phone (503) 215-6819

5050 NE Hoyt St
Ste 315
Portland, OR 97213
Phone (503) 215-8580

9135 SW Barnes Rd
Ste 461
Portland, OR 97225
Phone (503) 216-1150

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

10330 SE 32nd Ave
Ste 205
Portland, OR 97222
Phone (503) 513-8950

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

Organizations & group practices 17

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 17

Hospital & facility affiliations 5

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": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1962889634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD STE 461",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256643",
            "telephone_number": "503-216-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Fannin St",
            "address_2": "MGJ9-021",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "713-790-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Jesse Hill Jr Dr SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303033050",
            "country_code": "US",
            "telephone_number": "404-616-4013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9135 SW Barnes Rd Ste 461",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256643",
            "country_code": "US",
            "telephone_number": "503-216-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KISHAN",
        "middle_name": "SUNILBHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD197231",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP10053939",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "OR",
            "license": "MD197231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel1245733@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "5050 NE Hoyt St Ste 315",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972132982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpatel1245733@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9135 SW Barnes Rd Ste 461",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.