DR. KELLY DAWN BLOCK M.D.
NPI 1396831913
Internal Medicine in Beaverton, OR

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
4855 SW WESTERN AVE, BEAVERTON, OR 97005(503) 350-2408(503) 350-2438 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2025, Feb 4, 2022 (2 updates tracked since 2022).

About Dr. Kelly Dawn Block M.d. NPPES

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

DR. KELLY DAWN BLOCK M.D. (NPI 1396831913) is an individual internal medicine provider in Beaverton, Oregon, licensed in Oregon (MD20692) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (1996).

NPPES Registry Identity

NPI1396831913
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KELLY DAWN BLOCKCredential: M.D.
Location Address4855 SW WESTERN AVEBeaverton, OR 97005-3460
Mailing Address4855 Sw Western AveBeaverton, OR 97005-3460 · (503) 350-2408 · Fax (503) 350-2438
Fax(503) 350-2438
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1996
Enumeration DateOctober 4, 2006
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
NPI 1396831913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OR · MD20692
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4855 SW WESTERN AVE, Beaverton, OR 97005

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Dawn Block M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395820781
PECOS Enrollment IDI20080310000337
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dentist (General Practice)
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Dentist (General Practice)
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Obstetrics & Gynecology
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Counselor (Mental Health)
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Pediatrics
4855 SW WESTERN AVE, BEAVERTON MEDICAL OFFICE
BEAVERTON, OR 97005
Obstetrics & Gynecology
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Dental Hygienist
4855 SW WESTERN AVE
BEAVERTON, OR 97005

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 Kelly Block's NPI number?

The NPI number for Kelly Block is 1396831913. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Kelly Block located?

Kelly Block practices at 4855 SW Western Ave, Beaverton, OR 97005. The listed phone number is (503) 350-2408.

What is Kelly Block's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelly Block enrolled in Medicare?

Yes. Kelly Block is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Block accept?

Health plans from Kaiser Permanente list Kelly Block 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 Kelly Block was last updated on May 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.