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DR. DANIEL JOSEPH KINGSBURY M.D.
NPI 1396705414
Pediatrics - Pediatric Rheumatology in Portland, OR

Active since March 23, 2006PECOS Enrolled
501 N GRAHAM ST STE 355, PORTLAND, OR 97227(503) 413-3930(503) 413-3948 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Daniel Joseph Kingsbury M.d. NPPES

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

DR. DANIEL JOSEPH KINGSBURY M.D. (NPI 1396705414) is an individual pediatric rheumatology provider in Portland, Oregon, licensed in Oregon (MD22287) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1396705414
Entity TypeIndividualMale
Primary Taxonomy2080P0216X
Provider Legal NameDR. DANIEL JOSEPH KINGSBURYCredential: M.D.
Location Address501 N GRAHAM ST STE 355Portland, OR 97227-2005
Mailing Address501 N Graham St Ste 355Portland, OR 97227-2005 · (503) 413-3930 · Fax (503) 413-3948
Phone(503) 413-3930
Fax(503) 413-3948
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateJanuary 28, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1396705414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0216X
License✔ Licensed in OR · MD22287
Definition
A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedPediatricsTaxonomy 208000000X · License MD22287 (OR)
501 N GRAHAM ST STE 355, Portland, OR 97227
Open in Google Maps ↗

Secondary Practice Location 1

Location 12801 N Gantenbein Ave, Suite 2225Portland, OR 97227-1623 · Phone (503) 413-4505 · Fax (503) 413-4719

Other Identifiers 1

Medicaid288457OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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. Daniel Joseph Kingsbury M.d. 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 Daniel Kingsbury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Professional Services
2.7 mi
Mental Health (Including Community Mental Health Center)
2525 SW FIRST AVE STE 1215
Portland, OR 97201
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1316354970 (503) 494-4745

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

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

ANDREW S LASKY M.D.
Pediatrics (Pediatric Rheumatology)
501 N GRAHAM ST STE 355
PORTLAND, OR 97227
Multnomah County (503) 413-3930

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 Daniel Kingsbury's NPI number?

The NPI number for Daniel Kingsbury is 1396705414. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Daniel Kingsbury located?

Daniel Kingsbury practices at 501 N Graham St Ste 355, Portland, OR 97227. The listed phone number is (503) 413-3930.

What is Daniel Kingsbury's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Is Daniel Kingsbury enrolled in Medicare?

Yes. Daniel Kingsbury is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniel Kingsbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Kingsbury 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 Daniel Kingsbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Kingsbury accept?

Health plans from Moda Health Plan, Inc. list Daniel Kingsbury 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 Daniel Kingsbury was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.