DR. KENNETH CHARLES DIRK M.D.
NPI 1780770776
Emergency Medicine in Portland, OR
About Dr. Kenneth Charles Dirk M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH CHARLES DIRK M.D. (NPI 1780770776) is an individual emergency medicine provider in Portland, Oregon, licensed in Oregon (MD20699) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Burns.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kenneth Charles Dirk M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kenneth Dirk reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 753 clinicians in this Medicare group
Burns, OR 97720
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1285742338 (Oregon)
- 81 clinicians in this Medicare group
Gold Beach, OR 97444
- Reassigned Medicare billing, Oregon enrollment
- 67 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97225 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 97225
PORTLAND, OR 97225
PORTLAND, OR 97225
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 Kenneth Dirk's NPI number?
The NPI number for Kenneth Dirk is 1780770776. It was assigned to this individual provider in the NPPES registry on October 5, 2006.
Where is Kenneth Dirk located?
Kenneth Dirk practices at 9205 SW Barnes Rd, Portland, OR 97225. The listed phone number is (503) 297-6334.
What is Kenneth Dirk's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kenneth Dirk enrolled in Medicare?
Yes. Kenneth Dirk is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kenneth Dirk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Dirk reassigns Medicare benefits to 3 organizations: Providence Health & Services - Oregon (Portland, OR), Harney District Hospital (Burns, OR) and Western Healthcare Services Texas (Gold Beach, OR). 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 Kenneth Dirk'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 Kenneth Dirk was last updated on September 19, 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.
# Dr. Kenneth Charles Dirk, M.D. · NPI 1780770776
Emergency Medicine physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1780770776 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD20699 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 9205 SW BARNES RD, Portland, OR 97225-6603
- **Phone:** (503) 297-6334 · **Fax:** (503) 297-2360
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services - Oregon (NPI 1114015971, Portland, OR); Harney District Hospital (NPI 1013276195, Burns, OR); Western Healthcare Services Texas (NPI 1336878024, Gold Beach, OR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 19, 2023
- **Other identifiers:** Medicaid 134004 (OR); Other 930081411 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1780770776) · Data from the CMS NPPES public registry.