CHRISTOPHER ROBERT CONNELLY M.D.
NPI 1629369756
Transplant Surgery in Portland, OR

Active since April 24, 2011PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-7810(503) 494-8671 Get Directions Write a Review

NPPES record last updated: July 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2020, Feb 5, 2020, Dec 7, 2018 and 1 more (4 updates tracked since 2018).

About Christopher Robert Connelly M.d. NPPES

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

CHRISTOPHER ROBERT CONNELLY M.D. (NPI 1629369756) is an individual transplant surgery provider in Portland, Oregon, licensed in Oregon (MD174551) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1629369756
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameCHRISTOPHER ROBERT CONNELLYCredential: M.D.
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-7810 · Fax (503) 494-8671
Fax(503) 494-8671
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 24, 2011
Last NPPES UpdateJuly 24, 20204 updates tracked since enumeration
NPPES CertifiedJuly 24, 2020
NPI 1629369756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License Licensed in OR · MD174551
Definition

A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License MD174551 (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

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

Christopher Robert Connelly 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 ID5991941296
PECOS Enrollment IDI20200813000124
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

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.

Emergency Medicine
3181 SW SAM JACKSON PARK RD, # L-102
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Nurse Practitioner (Family)
3181 SW SAM JACKSON PARK RD, CDW-EM
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAILCODE CDW-EM
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, # CDW
PORTLAND, OR 97239
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAIL CODE: CDW-EM
PORTLAND, OR 97239
Emergency Medicine (Medical Toxicology)
3181 SW SAM JACKSON PARK RD
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 Christopher Connelly's NPI number?

The NPI number for Christopher Connelly is 1629369756. It was assigned to this individual provider in the NPPES registry on April 24, 2011.

Where is Christopher Connelly located?

Christopher Connelly practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-7810.

What is Christopher Connelly's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Christopher Connelly enrolled in Medicare?

Yes. Christopher Connelly 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 Christopher Connelly accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Christopher Connelly 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.

Is Christopher Connelly affiliated with any hospitals?

According to CMS data, Christopher Connelly is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Christopher Connelly was last updated on July 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.