OHSU PEDIATRIC PERITONEAL DIALYSIS PROGRAM
NPI 1033650353
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Portland, OR

NPI Status: Active since March 20, 2017

Contact Information

3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239
Phone: (503) 494-4072

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About OHSU PEDIATRIC PERITONEAL DIALYSIS PROGRAM

This page provides the complete NPI Profile along with additional information for Ohsu Pediatric Peritoneal Dialysis Program, a provider established in Portland, Oregon operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1033650353 assigned on March 2017. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Ohsu Pediatric Peritoneal Dialysis Program. The authorized official of this NPI record is Dr. Joseph E. Robertson M.d. (President)

NPI
1033650353
Provider Legal Name
OREGON HEALTH & SCIENCE UNIVERSITY
Other Organization Name
OHSU PEDIATRIC PERITONEAL DIALYSIS PROGRAM
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239
Location Phone
(503) 494-4072
Mailing Address
3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-20-2017
Last Update Date
03-20-2017
Code Navigator



Ohsu Pediatric Peritoneal Dialysis Program is a medicare supplier with PTAN 20668277 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).

According to the Dialysis Facility Compare program data, Ohsu Pediatric Peritoneal Dialysis Program doesn't have a Quality of Patient Care Star Rating available at this time because not enough quality measure data to calculate a star rating.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • KP OR Bronze 6000 - EPO
  • KP OR Bronze HSA 7100 - EPO
  • KP OR Gold 0 - EPO
  • KP OR Gold 1750 - EPO
  • KP OR Silver 3000 - EPO
  • KP OR Silver 4000 - EPO
  • KP Oregon Standard Bronze Plan - EPO
  • KP Oregon Standard Gold Plan - EPO
  • KP Oregon Standard Silver Plan - EPO
  • KP OR Family Dental - $100 Ded - EPO
  • KP OR Family Dental - $1000 - EPO
  • KP OR Family Dental - $1000/$50 Ded - EPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOSEPH E. ROBERTSON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(503) 494-7861

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20668277
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
Not Available - Not enough quality measure data to calculate a star rating.
Dialysis Facility TypeNon-profit
Is it part of a chain?Yes
Corporate NameOther
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
No
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
0
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
Yes
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
No
Certification or Recertification Date10-18-2017

Reviews for OHSU PEDIATRIC PERITONEAL DIALYSIS PROGRAM

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033650353, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 6 → 12 → 3 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 1 + 2 + 5 + 0 + 3 + 1 + 0 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1033650353.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
3181 SW SAM JACKSON PARK RD, # L-102
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Nurse Practitioner (Family)
3181 SW SAM JACKSON PARK RD, CDW-EM
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAILCODE CDW-EM
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, # CDW
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAIL CODE: CDW-EM
PORTLAND, OR 97239
Emergency Medicine (Medical Toxicology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Urology (Pediatric Urology)
3181 SW SAM JACKSON PARK RD, PEDIATRIC UROLOGY CDW-6
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD, UHN 80
PORTLAND, OR 97239
Advanced Practice Midwife
3181 SW SAM JACKSON PARK RD, KPV7C
PORTLAND, OR 97239
Surgery (Trauma Surgery)
3181 SW SAM JACKSON PARK RD, L611
PORTLAND, OR 97239
Pediatrics (Pediatric Emergency Medicine)
3181 SW SAM JACKSON PARK RD, MAIL CODE CDW-EM
PORTLAND, OR 97239
Nurse Practitioner
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine (Rheumatology)
3181 SW SAM JACKSON PARK RD, OP09
PORTLAND, OR 97239
Urology (Pediatric Urology)
3181 SW SAM JACKSON PARK RD, CDW6
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD, MAIL CODE DC7P
PORTLAND, OR 97239
Anesthesiology
3181 SW SAM JACKSON PARK RD, UHS-2
PORTLAND, OR 97239
Pediatrics (Pediatric Infectious Diseases)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Physician Assistant
3181 SW SAM JACKSON PARK RD, CARDIOLOGY @UHN62
PORTLAND, OR 97239

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033650353, enumerated as an "organization" on March 20, 2017.

The provider is located at 3181 SW SAM JACKSON PARK RD PORTLAND, OR 97239 and the phone number is (503) 494-4072.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente,. Please consult your insurance carrier or call the provider to verify.