GREGORY JAMES BLAIR M.D.
NPI 1104269117
Anesthesiology - Critical Care Medicine in Clackamas, OR

Q: What is Gregory Blair's NPI number?

The NPI number for Gregory Blair is 1104269117. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Q: What is Gregory Blair's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Blair was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 April 09, 2013PECOS EnrolledAccepts Medicare Assignment

10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(971) 219-7925 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2024, Feb 4, 2022, Jan 6, 2022 (3 updates tracked since 2022).

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About Gregory James Blair M.d. NPPES

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

GREGORY JAMES BLAIR M.D. (NPI 1104269117) is an individual critical care medicine provider in Clackamas, Oregon, licensed in Oregon (MD187147) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1104269117

Entity TypeIndividualMale

Primary Taxonomy207LC0200X

Provider Legal NameGREGORY JAMES BLAIRCredential: M.D.

Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970

Mailing Address10180 Se Sunnyside RdClackamas, OR 97015-8970

Phone(971) 219-7925

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2013

Enumeration DateApril 9, 2013

Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1104269117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LC0200X

License✔ Licensed in OR · MD187147

Definition

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License MD187147 (OR)

10180 SE SUNNYSIDE RD, Clackamas, OR 97015

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Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-7641

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gregory James Blair M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678792207

PECOS Enrollment IDI20190711001689

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380091

Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

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

DR. DANIEL FORREST LOTSPEICH MD

Internal Medicine

10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

MEGAN LEA KELLY

Emergency Medicine

10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

JARROD L LARSON M.D.

Anesthesiology