CARL ANTHONY RIDDICK M.D.
NPI 1093751372
Internal Medicine - Pulmonary Disease in Portland, OR

Q: What is Carl Riddick's NPI number?

The NPI number for Carl Riddick is 1093751372. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Carl Riddick's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Carl Riddick was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2006PECOS Enrolled

9427 SW BARNES RD STE 296, PORTLAND, OR 97225(503) 297-3778(503) 297-7853 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2021, Feb 11, 2019, Mar 24, 2016 (3 updates tracked since 2016).

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About Carl Anthony Riddick M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARL ANTHONY RIDDICK M.D. (NPI 1093751372) is an individual pulmonary disease provider in Portland, Oregon, licensed in Oregon (MD20646) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1093751372

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameCARL ANTHONY RIDDICKCredential: M.D.

Location Address9427 SW BARNES RD STE 296Portland, OR 97225-6667

Mailing Address847 Ne 19th Ave, Suite 300Portland, OR 97232-2684 · (503) 963-2801 · Fax (503) 963-2825

Phone(503) 297-3778

Fax(503) 297-7853

Sole ProprietorNo

Enumeration DateJune 22, 2006

Last NPPES UpdateNovember 23, 20213 updates tracked since enumeration

NPPES CertifiedNovember 23, 2021

✔ NPI 1093751372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in OR · MD20646

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD20646 (OR)

9427 SW BARNES RD STE 296, Portland, OR 97225

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Secondary Practice Locations 3

Location 119250 SW 65th Ave Ste 135Tualatin, OR 97062-7745 · Phone (503) 692-8560 · Fax (503) 692-8562

Location 216770 SW Edy Rd Ste 216Sherwood, OR 97140-9679 · Phone (503) 297-3778 · Fax (503) 297-7853

Location 3879 Providence DrNewberg, OR 97132-7563 · Phone (503) 297-3778 · Fax (503) 297-7853

Other Identifiers 2

Medicaid150111OR

Medicaid2017144WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carl Anthony Riddick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIETTE LOUISE WAIT MD

Internal Medicine (Pulmonary Disease)