NORTHWEST RENAL CLINIC, INC.
NPI 1861700130
Internal Medicine - Nephrology in Portland, OR

NPI Status: Active since September 20, 2010

Contact Information

10201 SE MAIN ST
SUITE 27
PORTLAND, OR
ZIP 97216
Phone: (503) 256-0877
Fax: (503) 256-4188

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  • Organization
  • Internal Medicine
  • Nephrology
  • CLIA Number: 38D2015813
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-03-2026

About NORTHWEST RENAL CLINIC, INC.

This page provides the complete NPI Profile along with additional information for Northwest Renal Clinic, Inc., an internist established in Portland, Oregon operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1861700130 assigned on September 2010. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Clayton M Smiley Md (Md)

NPI
1861700130
Provider Name
NORTHWEST RENAL CLINIC, INC.
Entity Type
Organization
Location Address
10201 SE MAIN ST SUITE 27 PORTLAND, OR 97216
Location Phone
(503) 256-0877
Location Fax
(503) 256-4188
Mailing Address
10201 SE MAIN ST SUITE 27 PORTLAND, OR 97216
Mailing Phone
(503) 256-0877
Mailing Fax
(503) 256-4188
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2010
Last Update Date
07-12-2023
Code Navigator

An internist like Northwest Renal Clinic, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLAYTON M SMILEY MD

Authorized Official Title
MD
Authorized Official Phone
(503) 229-7976

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2015813
Facility Type
Physician Office
Certificate Effective Date
November 04, 2024
Certificate Expiration Date
November 03, 2026
Laboratory Director
TODD HILBELINK MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Northwest Renal Clinic, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861700130, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 1 + 4 + 0 + 0 + 1 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1861700130.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
10201 SE MAIN ST, SUITE 10
PORTLAND, OR 97216
Internal Medicine (Cardiovascular Disease)
10201 SE MAIN ST, SUITE 10
PORTLAND, OR 97216
Internal Medicine (Pulmonary Disease)
10201 SE MAIN ST, SUITE 11
PORTLAND, OR 97216
Nurse Practitioner
10201 SE MAIN ST, SUITE 29
PORTLAND, OR 97216
Nurse Practitioner
10201 SE MAIN ST, SUITE 29
PORTLAND, OR 97216
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
10201 SE MAIN ST, SUITE 29
PORTLAND, OR 97216
Family Medicine
10201 SE MAIN ST, SUITE 29
PORTLAND, OR 97216
Internal Medicine
10201 SE MAIN ST, SUITE 12
PORTLAND, OR 97216
Internal Medicine
10201 SE MAIN ST, SUITE 12
PORTLAND, OR 97216
Internal Medicine (Pulmonary Disease)
10201 SE MAIN ST, SUITE 11
PORTLAND, OR 97216
Internal Medicine (Pulmonary Disease)
10201 SE MAIN ST, SUITE 11
PORTLAND, OR 97216
Internal Medicine (Nephrology)
10201 SE MAIN ST, SUITE 27
PORTLAND, OR 97216
Internal Medicine (Nephrology)
10201 SE MAIN ST, SUITE 27
PORTLAND, OR 97216
Internal Medicine (Nephrology)
10201 SE MAIN ST, SUITE 27
PORTLAND, OR 97216
Internal Medicine (Sleep Medicine)
10201 SE MAIN ST, PORTLAND LUNG CLINIC
PORTLAND, OR 97216
Family Medicine
10201 SE MAIN ST, SUITE 10
PORTLAND, OR 97216
Internal Medicine
10201 SE MAIN ST, SUITE 12
PORTLAND, OR 97216
Nurse Practitioner (Family)
10201 SE MAIN ST, SUITE 10
PORTLAND, OR 97216
Physician Assistant
10201 SE MAIN ST, SUITE 9
PORTLAND, OR 97216
Emergency Medicine (Undersea and Hyperbaric Medicine)
10201 SE MAIN ST, SUITE 9
PORTLAND, OR 97216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861700130, enumerated as an "organization" on September 20, 2010.

The provider is located at 10201 SE MAIN ST SUITE 27 PORTLAND, OR 97216 and the phone number is (503) 256-0877.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.