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KENNETH G PIPPUS MD
NPI 1801982764
Surgery - Pediatric Surgery in Portland, OR

Active since October 05, 2006
9427 SW BARNES RD STE 395, PORTLAND, OR 97225(503) 216-6050(503) 216-8658 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2021, Feb 15, 2021 (2 updates tracked since 2021).

About Kenneth G Pippus Md NPPES

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

KENNETH G PIPPUS MD (NPI 1801982764) is an individual pediatric surgery provider in Portland, Oregon, licensed in Oregon (MD152536) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1801982764
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameKENNETH G PIPPUSCredential: MD
Location Address9427 SW BARNES RD STE 395Portland, OR 97225-6652
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Phone(503) 216-6050
Fax(503) 216-8658
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateMarch 24, 20212 updates tracked since enumeration
NPPES CertifiedMarch 24, 2021
✔ NPI 1801982764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in OR · MD152536✔ Licensed in CO · 41464
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
9427 SW BARNES RD STE 395, Portland, OR 97225
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Other Identifiers 2

Medicaid500624953OR
Medicaid44331282CO

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.

TYSON DEE PAYNE PAYNE PSYD
Psychologist (Clinical)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-6550
VICTORIA EUGENIE JANSEN RD
Dietitian, Registered
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-6050
MISS NICOLE ASHLEIGH DALTON PSYD
Psychologist (Clinical)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-6550
ANGELA ELAINE SANTIAGO LENNON MD
Pediatrics (Pediatric Endocrinology)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-6050
GILLIAN C ROSICKY
Nurse Practitioner (Family)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-6550
PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-1280
AUSTIN D LAYTON DO
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 216-6050
MR. RENJITH RADHAKRISHNAN NAIR AGACNP
Nurse Practitioner (Acute Care)
9427 SW BARNES RD STE 395
PORTLAND, OR 97225
Washington County (503) 962-1000

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 Pippus's NPI number?

The NPI number for Kenneth Pippus is 1801982764. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Kenneth Pippus located?

Kenneth Pippus practices at 9427 SW Barnes Rd Ste 395, Portland, OR 97225. The listed phone number is (503) 216-6050.

What is Kenneth Pippus's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Kenneth Pippus was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.