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CARDIORENAL VISION FOR OREGON LLC
NPI 1194535997
Internal Medicine - Nephrology in Portland, OR

Active since January 13, 2025
39 NE 102ND AVE, PORTLAND, OR 97220(503) 334-2332(503) 334-2332 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cardiorenal Vision For Oregon Llc NPPES

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

CARDIORENAL VISION FOR OREGON LLC (NPI 1194535997) is a healthcare organization registered as a nephrology in Portland, Oregon and active in the NPI registry since January 2025. The organization lists Rehan Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1194535997
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameCARDIORENAL VISION FOR OREGON LLC
Location Address39 NE 102ND AVEPortland, OR 97220-4103
Mailing AddressPo Box 516Oregon, IL 61061-0516
Phone(503) 334-2332
Fax(503) 334-2332
Organization SubpartNo
Authorized OfficialRehan ShahOwner · (503) 334-2332
Enumeration DateJanuary 13, 2025
Last NPPES UpdateFebruary 17, 2025
NPPES CertifiedFebruary 17, 2025
✔ NPI 1194535997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
39 NE 102ND AVE, Portland, OR 97220
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cardiorenal Vision For Oregon Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Cardiorenal Vision For Oregon LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Allison O'meara, FNP
Nurse Practitioner
NPI 1588272710
1859 NW CIVIC DR
Gresham, OR 97030
(503) 962-1000
✔ PECOS✔ Accepts Medicare5.8 mi
Junaid Ahmed, MD
Cardiovascular Disease (Cardiology)
NPI 1376830109
7807 BAYMEADOWS RD E SUITE 209
Jacksonville, FL 32256
(904) 330-1024
✔ PECOS✔ Accepts Medicare2,445 mi

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 Cardiorenal Vision For Oregon LLC's NPI number?

The NPI number for Cardiorenal Vision For Oregon LLC is 1194535997. It was assigned to this organization in the NPPES registry on January 13, 2025.

Where is Cardiorenal Vision For Oregon LLC located?

Cardiorenal Vision For Oregon LLC is located at 39 NE 102nd Ave, Portland, OR 97220. The listed phone number is (503) 334-2332.

What is Cardiorenal Vision For Oregon LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Cardiorenal Vision For Oregon LLC enrolled in Medicare?

Yes. Cardiorenal Vision For Oregon LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cardiorenal Vision For Oregon LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Cardiorenal Vision For Oregon LLC, in Cardiovascular Disease (Cardiology) and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cardiorenal Vision For Oregon LLC was last updated on February 17, 2025. 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.