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DR. JADE KOIDE M.D.
NPI 1699119560
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 23, 2013PECOS Enrolled
3181 SW SAM JACKSON PARK ROAD, OHSU, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jade Koide M.d. NPPES

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

DR. JADE KOIDE M.D. (NPI 1699119560) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699119560
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JADE KOIDECredential: M.D.
Location Address3181 SW SAM JACKSON PARK ROAD, OHSUPortland, OR 97239
Mailing Address2104 Ne Couch StPortland, OR 97232-3027 · (805) 252-8816
Phone(503) 494-8211
Sole ProprietorNo
Enumeration DateApril 23, 2013
Last NPPES UpdateMay 4, 2017
✔ NPI 1699119560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3181 SW SAM JACKSON PARK ROAD, Portland, OR 97239
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jade Koide M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MATTHEW JUDGE M.D.
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK ROAD, OREGON HEALTH & SCIENCE UNIVERSITY
PORTLAND, OR 97239
Multnomah County (503) 494-8144
MEGAN FURNARI M.D., M.S.
Pediatrics (Neonatal-Perinatal Medicine)
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Multnomah County (503) 494-8211
MS. CHERYL DAWN MELZER PT
Physical Therapist
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Multnomah County (503) 494-4998
NATHAN RICHARD SCHOENECK MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK ROAD, OHSU,
PORTLAND, OR 97239
Multnomah County (503) 494-8211
EMILY LAUREN PATON
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Multnomah County (503) 494-8211
DR. LAURA ANN RYAN M.D.
Emergency Medicine
3181 SW SAM JACKSON PARK ROAD, CB 550
PORTLAND, OR 97239
Multnomah County (503) 494-2595
DR. JENNIFER LYNN FILE MCCALL DO
Pediatrics
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Multnomah County (503) 494-1303
RYAN WALLENBERG M.D.
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Multnomah County (503) 494-8211

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 Jade Koide's NPI number?

The NPI number for Jade Koide is 1699119560. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Jade Koide located?

Jade Koide practices at 3181 SW Sam Jackson Park Road Ohsu, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is Jade Koide's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jade Koide enrolled in Medicare?

Yes. Jade Koide is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jade Koide was last updated on May 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.