NGC ENDOSCOPY SERVICES LLC
NPI 1366529638
Clinic/Center - Ambulatory Surgical in Portland, OR

Q: What is Ngc Endoscopy Services LLC's NPI number?

The NPI number for Ngc Endoscopy Services LLC is 1366529638. It was assigned to this organization in the NPPES registry on November 1, 2006.

Q: What is Ngc Endoscopy Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since November 01, 2006CLIA 38D1062487 · Waiver

1130 NW 22ND AVE STE 410, PORTLAND, OR 97210(503) 229-7137 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ngc Endoscopy Services Llc NPPES

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

NGC ENDOSCOPY SERVICES LLC (NPI 1366529638) is a healthcare organization registered as an ambulatory surgical in Portland, Oregon and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Roland William Bennetts, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366529638

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameNGC ENDOSCOPY SERVICES LLC

Location Address1130 NW 22ND AVE STE 410Portland, OR 97210-2911

Mailing Address1130 Nw 22nd Ave Ste 615Portland, OR 97210-2977 · (503) 229-7137 · Fax (503) 241-0628

Phone(503) 229-7137

Organization SubpartNo

Authorized OfficialRoland William BennettsMedical Director · (503) 229-7137

Enumeration DateNovember 1, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1366529638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in OR · 07 1539

1130 NW 22ND AVE STE 410, Portland, OR 97210

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Other Identifiers 1

Medicaid100355OR

Accepted Insurance

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

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 Waiver 38D1062487

Ngc Endoscopy Services LLC · Portland, OR

Active · expires Dec 14, 2026

CLIA Number38D1062487

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateDecember 15, 2024

Certificate Expiration DateDecember 14, 2026

Laboratory DirectorMatthew A. Smith

Laboratory Phone(503) 229-7195

Laboratory LocationNgc Endoscopy Services LLC1130 NW 22nd Ave Suite 615, Portland, OR 97210

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

486 services483 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

166 services165 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

155 services154 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

78 services77 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

34 services34 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

27 services26 patients

Other Providers at the Same Location NPPES 5

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

NORTHWEST GASTROENTEROLOGY CLINIC LLC

Specialist