SHRINERS HOSPITALS FOR CHILDREN (PROFESSIONAL SERVICES)
NPI 1134561020
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Portland, OR
About Shriners Hospitals For Children (professional Services) NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHRINERS HOSPITALS FOR CHILDREN (PROFESSIONAL SERVICES) (NPI 1134561020) is a healthcare organization registered as a pediatric orthopaedic surgery in Portland, Oregon and active in the NPI registry since July 2013. The organization maintains a secondary practice location in Medford and lists Jerry Gantt, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 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 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 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.
Frequently 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 1134561020. It was assigned to this organization in the NPPES registry on July 22, 2013. The provider is also known as Shriners Hospitals For Children (professional 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) 294-3230.
What is Shriners Hospitals For Children's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.
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.
What insurance does Shriners Hospitals For Children accept?
Health plans from Ambetter Health and Moda Health Plan, Inc. 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 19, 2022. 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.
# Shriners Hospitals For Children (professional Services) · NPI 1134561020
Pediatric Orthopaedic Surgery organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since July 22, 2013.
## Identity
- **NPI:** 1134561020 (Entity type: Organization)
- **Enumerated:** July 22, 2013
- **Primary specialty:** Orthopaedic Surgery - Pediatric Orthopaedic Surgery · taxonomy 207XP3100X
- **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) 294-3230 · **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 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1134561020) · Data from the CMS NPPES public registry.