PROVIDENCE HEALTH & SERVICE - OREGON
NPI 1457625501
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Portland, OR

Q: What is Providence Health & Service - Oregon's NPI number?

The NPI number for Providence Health & Service - Oregon is 1457625501. It was assigned to this organization in the NPPES registry on March 6, 2012. The provider is doing business as Providence Medical Group and Providence Heart Clinic Cardiovascular Surgery East.

Q: What is Providence Health & Service - Oregon's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since March 06, 2012

5050 NE HOYT ST, SUITE 511, PORTLAND, OR 97213(503) 962-1020(503) 962-1021 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 30, 2025, May 16, 2025, Jan 19, 2021 (3 updates tracked since 2021).

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About Providence Health & Service - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICE - OREGON (NPI 1457625501), doing business as Providence Medical Group, is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Portland, Oregon and active in the NPI registry since March 2012. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1457625501

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NamePROVIDENCE HEALTH & SERVICE - OREGON

Location Address5050 NE HOYT ST, SUITE 511Portland, OR 97213-2984

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180

Phone(503) 962-1020

Fax(503) 962-1021

Organization SubpartNo

Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786

Enumeration DateMarch 6, 2012

Last NPPES UpdateJune 30, 20253 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1457625501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedClinic/CenterTaxonomy 261Q00000X

5050 NE HOYT ST, Portland, OR 97213

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Heart Clinic Cardiovascular Surgery East

Other Identifiers 1

Medicaid500643323OR

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Service - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,498

Medicare enrollment records show 1,498 clinicians reassign Medicare billing to Providence Health & Service - Oregon, which bills Medicare for the services they deliver. Of these, 99 practice at this address and 1,050 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 56

Internal Medicine250

Family Practice212

Nurse Practitioner210

Hospitalist96

Neurology57

Obstetrics/Gynecology57

Physical Therapist in Private Practice54

Clinical Psychologist53

48 other specialties509

Nearest to this location (20)

See all 1,498

Kimberly Allard, CNM

Certified Nurse Midwife (CNM)

NPI 1295165389

5050 NE HOYT ST STE 255
Portland, OR 97213

(503) 215-6085

✔ PECOSSame address

Maureen Andersen, CNM

Certified Nurse Midwife (CNM)

NPI 1851982904

5050 NE HOYT ST STE 255
Portland, OR 97213

(503) 215-6085

✔ PECOS✔ Accepts MedicareSame address

Elise Anderson, MD

Neurology

NPI 1972764777

5050 NE HOYT ST SUITE 315
Portland, OR 97213

(503) 215-8580

✔ PECOS✔ Accepts MedicareSame address

Lindsey Bakis, FNP

Nurse Practitioner

NPI 1497646293

5050 NE HOYT ST STE 177
Portland, OR 97213

(503) 215-2481

✔ PECOS✔ Accepts MedicareSame address

Katherine Berry, MD

Internal Medicine

NPI 1114579281

5050 NE HOYT ST STE 454
Portland, OR 97213

(503) 215-6405

✔ PECOS✔ Accepts MedicareSame address

Edward Bieniek, MD

General Surgery

NPI 1083682744

5050 NE HOYT ST STE 610
Portland, OR 97213

(503) 467-4761

✔ PECOS✔ Accepts MedicareSame address

Elizabeth Blackford, DPT

Physical Therapist in Private Practice

NPI 1265910590

5050 NE HOYT ST STE 315
Portland, OR 97213

(503) 215-8580

✔ Accepts MedicareSame address

Laura Braunstein, PSYD

Clinical Psychologist

NPI 1326202458

5050 NE HOYT ST STE 315
Portland, OR 97213

(503) 215-8580

✔ PECOS✔ Accepts MedicareSame address

Mina Cunningham, MD

Family Practice

NPI 1982191920

5050 NE HOYT ST STE 240
Portland, OR 97213

(503) 215-6480

✔ PECOS✔ Accepts MedicareSame address

Katja Daoud, MD

Rheumatology

NPI 1316977309

5050 NE HOYT ST STE 155
Portland, OR 97225

(503) 215-6819

✔ PECOS✔ Accepts MedicareSame address

Crispin Davies, MD

Cardiovascular Disease (Cardiology)

NPI 1982610481

5050 NE HOYT ST STE 511
Portland, OR 97213

(503) 216-0790

✔ PECOS✔ Accepts MedicareSame address

Amy Dechet, M.D.

Infectious Disease

NPI 1508031832

5050 NE HOYT ST SUITE 540
Portland, OR 97213

(503) 215-6601

✔ PECOS✔ Accepts MedicareSame address

Andrew Joyce, M.D.

Physical Medicine and Rehabilitation

NPI 1194136036

5050 NE HOYT ST STE 611
Portland, OR 97213

(503) 215-8699

✔ PECOS✔ Accepts MedicareSame address

James Kurtz, D.O.

Gastroenterology

NPI 1992046825

5050 NE HOYT ST STE 610
Portland, OR 97213

(503) 467-4761

✔ PECOS✔ Accepts MedicareSame address

Augustine Okeke, M.D.

Hospitalist

NPI 1043572696

5050 NE HOYT ST SUITE 540
Portland, OR 97213

(503) 215-6600

✔ PECOS✔ Accepts MedicareSame address

Jane Parker, SLP

Qualified Speech Language Pathologist

NPI 1588045173

5050 NE HOYT ST STE 315
Portland, OR 97213

(503) 215-8580

✔ Accepts MedicareSame address

Jennifer Pidkowicz, OTD

Occupational Therapist in Private Practice

NPI 1629958087

5050 NE HOYT ST STE 315
Portland, OR 97213

(503) 215-8580

✔ Accepts MedicareSame address

Renata Yang, M.D., M.P.H.

Psychiatry

NPI 1689817199

5050 NE HOYT ST STE 522
Portland, OR 97213

(503) 236-4343

✔ PECOS✔ Accepts MedicareSame address

Alexander Boscanin, MD

Diagnostic Radiology

NPI 1245618859

5050 NE HOYT ST STE 625
Portland, OR 97213

(503) 731-2900

✔ PECOS✔ Accepts MedicareSame address

Emery Douville, MD

Thoracic Surgery

NPI 1306848098

5050 NE HOYT ST SUITE 511
Portland, OR 97213

(503) 962-1020

✔ PECOSSame address

See all 1,498 clinicians

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 Providence Health & Service - Oregon's NPI number?

The NPI number for Providence Health & Service - Oregon is 1457625501. It was assigned to this organization in the NPPES registry on March 6, 2012. The provider is doing business as Providence Medical Group and Providence Heart Clinic Cardiovascular Surgery East.

Where is Providence Health & Service - Oregon located?

Providence Health & Service - Oregon is located at 5050 NE Hoyt St Suite 511, Portland, OR 97213. The listed phone number is (503) 962-1020.

What is Providence Health & Service - Oregon's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Providence Health & Service - Oregon enrolled in Medicare?

Yes. Providence Health & Service - Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Service - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,498 clinicians in 56 Medicare specialties reassign their Medicare billing to Providence Health & Service - Oregon. 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 Internal Medicine (250), Family Practice (212) and Nurse Practitioner (210). Of these, 99 practice at this address and 1,050 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Health & Service - Oregon was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.