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DR. KENNETH SCOTT AZAROW MD
NPI 1235119561
Surgery - Pediatric Surgery in Portland, OR

Active since January 20, 2006PECOS Enrolled
97.83/100
CMS Quality Rating
3181 SW SAM JACKSON PARK RD, CDW7, PORTLAND, OR 97239(503) 494-8708(503) 494-6467 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kenneth Scott Azarow Md NPPES

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

DR. KENNETH SCOTT AZAROW MD (NPI 1235119561) is an individual pediatric surgery provider in Portland, Oregon, licensed in Oregon (MD164637) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235119561
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. KENNETH SCOTT AZAROWCredential: MD
Location Address3181 SW SAM JACKSON PARK RD, CDW7Portland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park Rd, Cdw7Portland, OR 97239-3011 · (503) 494-8708 · Fax (503) 494-6467
Phone(503) 494-8708
Fax(503) 494-6467
Sole ProprietorNo
Enumeration DateJanuary 20, 2006
Last NPPES UpdateJuly 28, 2014
✔ NPI 1235119561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in OR · MD164637
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Scott Azarow Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Azarow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Professional Services
Same address
General Practice
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1376709535 (503) 494-8311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

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 Kenneth Azarow's NPI number?

The NPI number for Kenneth Azarow is 1235119561. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Kenneth Azarow located?

Kenneth Azarow practices at 3181 SW Sam Jackson Park Rd Cdw7, Portland, OR 97239. The listed phone number is (503) 494-8708.

What is Kenneth Azarow's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Kenneth Azarow enrolled in Medicare?

Yes. Kenneth Azarow is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Azarow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Azarow reassigns Medicare benefits to University Professional Services (Portland, OR). The 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 Kenneth Azarow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Azarow accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kenneth Azarow 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 Kenneth Azarow was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.