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DR. JACK CE JI DO
NPI 1730358789
Internal Medicine in Hillsboro, OR

Active since February 25, 2008PECOS Enrolled
3175 NE ALOCLEK DR, HILLSBORO, OR 97124(800) 813-2000 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 29, 2022, Feb 4, 2022, Dec 18, 2015 and 2 more (5 updates tracked since 2015).

About Dr. Jack Ce Ji Do NPPES

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

DR. JACK CE JI DO (NPI 1730358789) is an individual internal medicine provider in Hillsboro, Oregon, licensed in Oregon (28924) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730358789
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JACK CE JICredential: DO
Location Address3175 NE ALOCLEK DRHillsboro, OR 97124-7135
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2099 · (800) 813-2000
Phone(800) 813-2000
Sole ProprietorNo
Enumeration DateFebruary 25, 2008
Last NPPES UpdateMay 2, 20255 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
✔ NPI 1730358789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · 28924
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3175 NE ALOCLEK DR, Hillsboro, OR 97124
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Other Identifiers 1

Medicaid903297AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Ce Ji Do 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jack Ji reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaverton Rehab & Specialty Care, LLC
6.5 mi
Skilled Nursing Facility
11850 SW ALLEN BLVD
Beaverton, OR 97005
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1184786527 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1366469330 (503) 646-7164
Kaiser Foundation Health Plan Of Washington
136 mi
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1124264577 (509) 241-7349

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

STEPHANIE ODOBASIC LCSW
Counselor (Mental Health)
3175 NE ALOCLEK DR
HILLSBORO, OR 97124
Washington County (503) 249-3434
ADRIENNE STROEMPLE RASSIER
Marriage & Family Therapist
3175 NE ALOCLEK DR
HILLSBORO, OR 97124
Washington County (503) 333-3727
MARLISSA SUZANNE DIX LPC
Counselor (Mental Health)
3175 NE ALOCLEK DR
HILLSBORO, OR 97124
Washington County (503) 240-6210
MS. LISA BEVANS LPC,LMHC,NCC,CADCI
Counselor (Professional)
3175 NE ALOCLEK DR
HILLSBORO, OR 97124
Washington County (503) 403-4072
MISS NICOLE MARIE STROUP LPC
Counselor (Mental Health)
3175 NE ALOCLEK DR
HILLSBORO, OR 97124
Washington County (503) 240-6205
CARLI JO NICHOLSON IRONS LPC
Counselor
3175 NE ALOCLEK DR
HILLSBORO, OR 97124
Washington County (503) 249-3434
JENNIFER R SCARBOROUGH M.S.
Counselor (Mental Health)
3175 NE ALOCLEK DR
HILLSBORO, OR 97124
Washington County (503) 403-4149
MISS LINDSAY DAWN CRAFT LPC, CADCIII, NCC
Counselor (Mental Health)
3175 NE ALOCLEK DR
HILLSBORO, OR 97124
Washington County (503) 813-2000

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 Jack Ji's NPI number?

The NPI number for Jack Ji is 1730358789. It was assigned to this individual provider in the NPPES registry on February 25, 2008.

Where is Jack Ji located?

Jack Ji practices at 3175 NE Aloclek Dr, Hillsboro, OR 97124. The listed phone number is (800) 813-2000.

What is Jack Ji's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jack Ji enrolled in Medicare?

Yes. Jack Ji is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jack Ji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Ji reassigns Medicare benefits to 2 organizations: Beaverton Rehab & Specialty Care, LLC (Beaverton, OR) and Kaiser Foundation Health Plan Of Washington (Renton, WA). Each 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 Jack Ji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Ji was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.