SAMANTHA BANKS KAISER MD
NPI 1619468972
Obstetrics & Gynecology in Portland, OR
About Samantha Banks Kaiser Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA BANKS KAISER MD (NPI 1619468972) is an individual obstetrics & gynecology provider in Portland, Oregon, licensed in Oregon (MD208425) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Kapiolani Medical Center For Women & Children, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Banks Kaiser Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Kaiser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Honolulu, HI 96826
- Reassigned Medicare billing, Hawaii enrollment
- 370 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kapiolani Medical Center For Women & Children
Childrens · Honolulu, HIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Samantha Kaiser's NPI number?
The NPI number for Samantha Kaiser is 1619468972. It was assigned to this individual provider in the NPPES registry on May 22, 2018.
Where is Samantha Kaiser located?
Samantha Kaiser practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 418-4500.
What is Samantha Kaiser's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Samantha Kaiser enrolled in Medicare?
Yes. Samantha Kaiser 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.
Which organization bills Medicare for Samantha Kaiser's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kaiser reassigns Medicare benefits to Kapiolani Medical Specialists (Honolulu, HI). 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 Samantha Kaiser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samantha Kaiser affiliated with any hospitals?
According to CMS data, Samantha Kaiser is affiliated with Kapiolani Medical Center For Women & Children.
When was this NPI record last updated?
The NPPES record for Samantha Kaiser was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Samantha Banks Kaiser, MD · NPI 1619468972
Obstetrics & Gynecology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since May 22, 2018.
## Identity
- **NPI:** 1619468972 (Entity type: Individual)
- **Enumerated:** May 22, 2018
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD208425 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 418-4500 · **Fax:** (503) 494-1678
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kapiolani Medical Specialists (NPI 1124071014, Honolulu, HI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619468972) · Data from the CMS NPPES public registry.