NORTHWEST GASTROENTEROLOGY CLINIC LLC
NPI 1407933872
Specialist in Portland, OR
About Northwest Gastroenterology Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHWEST GASTROENTEROLOGY CLINIC LLC (NPI 1407933872) is a healthcare organization registered as a specialist in Portland, Oregon and active in the NPI registry since November 2006. The organization lists Roland William Bennetts, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northwest Gastroenterology Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Northwest Gastroenterology Clinic LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 13 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (14)
Clackamas, OR 97015
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Northwest Gastroenterology Clinic LLC's NPI number?
The NPI number for Northwest Gastroenterology Clinic LLC is 1407933872. It was assigned to this organization in the NPPES registry on November 1, 2006.
Where is Northwest Gastroenterology Clinic LLC located?
Northwest Gastroenterology Clinic LLC is located at 1130 NW 22nd Ave Ste 410, Portland, OR 97210. The listed phone number is (503) 229-7137.
What is Northwest Gastroenterology Clinic LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Northwest Gastroenterology Clinic LLC enrolled in Medicare?
Yes. Northwest Gastroenterology Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northwest Gastroenterology Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Northwest Gastroenterology Clinic LLC. A 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 the clinician's services. The largest specialties are Gastroenterology (8), Nurse Practitioner (3) and Internal Medicine (2). Of these, 8 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northwest Gastroenterology Clinic LLC accept?
Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Northwest Gastroenterology Clinic LLC 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 Northwest Gastroenterology Clinic LLC was last updated on June 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Northwest Gastroenterology Clinic Llc · NPI 1407933872
Specialist organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1407933872 (Entity type: Organization)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Roland Bennetts, PARTNER
## Practice location
- **Address:** 1130 NW 22ND AVE STE 410, Portland, OR 97210-2911
- **Phone:** (503) 229-7137 · **Fax:** (503) 241-0628
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (8), Nurse Practitioner (3), Internal Medicine (2); 8 practice at this address and 13 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2015
- **Other identifiers:** Medicare ID-Type Unspecified 000WCHJD (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1407933872) · Data from the CMS NPPES public registry.