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RUSSELL ROBERT KINDER MD
NPI 1316140965
Anesthesiology - Pain Medicine in Portland, OR

Active since June 08, 2007PECOS Enrolled
10000 SE MAIN ST STE 128, PORTLAND, OR 97216(503) 251-6835(503) 251-6836 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Russell Robert Kinder Md NPPES

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

RUSSELL ROBERT KINDER MD (NPI 1316140965) is an individual pain medicine provider in Portland, Oregon, licensed in Oregon (MD156934) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1316140965
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameRUSSELL ROBERT KINDERCredential: MD
Location Address10000 SE MAIN ST STE 128Portland, OR 97216-2462
Mailing Address10000 Se Main St Ste 128Portland, OR 97216-2462 · (503) 251-6835 · Fax (503) 251-6836
Phone(503) 251-6835
Fax(503) 251-6836
Sole ProprietorNo
Enumeration DateJune 8, 2007
Last NPPES UpdateMarch 17, 2018
✔ NPI 1316140965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Licenses✔ Licensed in OR · MD156934✔ Licensed in WA · MD60232145
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License MD156934 (OR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10000 SE MAIN ST STE 128, Portland, OR 97216
Open in Google Maps ↗

Secondary Practice Location 1

Location 1145 Lilly Rd NE Ste 101Olympia, WA 98506-5028 · Phone (425) 774-1538 · Fax (425) 774-5171

Other Identifiers 1

Medicaid1316140965WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell Robert Kinder 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 Reassignments

2

Medicare enrollment records show Russell Kinder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Seattle Pain Relief PLLC
123 mi
Family Medicine
35002 PACIFIC HWY S, STE A105
Federal Way, WA 98003
  • Reassigned Medicare billing, Washington enrollment
  • 10 clinicians in this Medicare group
NPI 1710240841 (425) 354-8311
The Pain Center Of Western Washington, PLLC
124 mi
Interventional Pain Medicine
350 S 333RD ST
Federal Way, WA 98003
  • Reassigned Medicare billing, Washington enrollment
  • 2 clinicians in this Medicare group
NPI 1841471901 (253) 874-8774

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

Other Providers at the Same Location NPPES 2

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

MS. DEANNA LYNN SCHLEGEL NP
Nurse Practitioner (Family)
10000 SE MAIN ST STE 128
PORTLAND, OR 97216
Multnomah County (503) 261-5950
MS. BREANNA NICOLE BARAFF FNP
Nurse Practitioner (Family)
10000 SE MAIN ST STE 128
PORTLAND, OR 97216
Multnomah County (503) 261-5950

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 Russell Kinder's NPI number?

The NPI number for Russell Kinder is 1316140965. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Russell Kinder located?

Russell Kinder practices at 10000 SE Main St Ste 128, Portland, OR 97216. The listed phone number is (503) 251-6835.

What is Russell Kinder's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Russell Kinder enrolled in Medicare?

Yes. Russell Kinder is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Russell Kinder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Kinder reassigns Medicare benefits to 2 organizations: Seattle Pain Relief PLLC (Federal Way, WA) and The Pain Center Of Western Washington, PLLC (Federal Way, WA). Each 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 Russell Kinder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Russell Kinder was last updated on March 17, 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.