SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL ANESTHESIA SERVICES
NPI 1104314350
Anesthesiology in Portland, OR
About Shriners Hospitals For Children Professional Anesthesia Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL ANESTHESIA SERVICES (NPI 1104314350) is a healthcare organization registered as an anesthesiology in Portland, Oregon and active in the NPI registry since April 2018. The organization holds an CLIA Accreditation certificate valid through March 17, 2027 and lists Jerry G. Gantt, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shriners Hospitals For Children Professional Anesthesia Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Shriners Hospitals For Children Professional Anesthesia Services, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 15 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (20)
Portland, OR 97239
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 38D0623174
Shriners Hospitals For Children - Portland · Portland, ORFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shriners Hospitals For Children's NPI number?
The NPI number for Shriners Hospitals For Children is 1104314350. It was assigned to this organization in the NPPES registry on April 24, 2018. The provider is also known as Shriners Hospitals For Children Professional Anesthesia Services.
Where is Shriners Hospitals For Children located?
Shriners Hospitals For Children is located at 3101 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 241-5090.
What is Shriners Hospitals For Children's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Shriners Hospitals For Children enrolled in Medicare?
Yes. Shriners Hospitals For Children is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shriners Hospitals For Children?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 7 Medicare specialties reassign their Medicare billing to Shriners Hospitals For Children. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (10), Pediatric Medicine (3) and Anesthesiology (2). Of these, 10 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Shriners Hospitals For Children hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 38D0623174) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Shriners Hospitals For Children accept?
Health plans from Ambetter Health list Shriners Hospitals For Children as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shriners Hospitals For Children was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Shriners Hospitals For Children Professional Anesthesia Services · NPI 1104314350
Anesthesiology organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since April 24, 2018.
## Identity
- **NPI:** 1104314350 (Entity type: Organization)
- **Enumerated:** April 24, 2018
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Legal business name:** Shriners Hospitals For Children
- **Organization subpart:** No
- **Authorized official:** Jerry Gantt, PRESIDENT
## Practice location
- **Address:** 3101 SW SAM JACKSON PARK RD, Portland, OR 97239-3009
- **Phone:** (503) 241-5090 · **Fax:** (503) 221-3701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (10), Pediatric Medicine (3), Anesthesiology (2); 10 practice at this address and 15 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104314350) · Data from the CMS NPPES public registry.