DR. KIMBERLY ANN RYDBOM D.O
NPI 1912184516
Internal Medicine in Portland, OR

Active since January 25, 2008PECOS EnrolledAccepts Medicare Assignment
2800 N VANCOUVER AVE STE 230, PORTLAND, OR 97227(503) 413-2901 Get Directions Write a Review

NPPES record last updated: August 31, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly Ann Rydbom D.o NPPES

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

DR. KIMBERLY ANN RYDBOM D.O (NPI 1912184516) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (DO29400) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1912184516
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KIMBERLY ANN RYDBOMCredential: D.O
Location Address2800 N VANCOUVER AVE STE 230Portland, OR 97227-1668
Mailing Address2800 N Vancouver Ave Ste 230Portland, OR 97227-1668 · (503) 413-2901
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 25, 2008
Last NPPES UpdateAugust 31, 2009
NPI 1912184516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OR · DO29400
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LL16582 (OR)
2800 N VANCOUVER AVE STE 230, Portland, OR 97227

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kimberly Ann Rydbom D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072669878
PECOS Enrollment IDI20090921000171
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaiser Sunnyside Medical Center

Acute Care Hospitals · Clackamas, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380091
Location10180 SE Sunnyside RoadClackamas, OR 97015 · Clackamas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2800 N VANCOUVER AVE STE 230
PORTLAND, OR 97227
Internal Medicine
2800 N VANCOUVER AVE STE 230, LEGACY CLINIC EMANUEL
PORTLAND, OR 97227
Dietitian, Registered
2800 N VANCOUVER AVE STE 230
PORTLAND, OR 97227
Internal Medicine
2800 N VANCOUVER AVE STE 230
PORTLAND, OR 97227
Internal Medicine (Infectious Disease)
2800 N VANCOUVER AVE STE 230
PORTLAND, OR 97227
Psychologist (Clinical)
2800 N VANCOUVER AVE STE 230
PORTLAND, OR 97227
Clinic/Center
2800 N VANCOUVER AVE STE 230
PORTLAND, OR 97227
Internal Medicine
2800 N VANCOUVER AVE STE 230
PORTLAND, OR 97227

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 Kimberly Rydbom's NPI number?

The NPI number for Kimberly Rydbom is 1912184516. It was assigned to this individual provider in the NPPES registry on January 25, 2008.

Where is Kimberly Rydbom located?

Kimberly Rydbom practices at 2800 N Vancouver Ave Ste 230, Portland, OR 97227. The listed phone number is (503) 413-2901.

What is Kimberly Rydbom's specialty?

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

Is Kimberly Rydbom enrolled in Medicare?

Yes. Kimberly Rydbom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kimberly Rydbom affiliated with any hospitals?

According to CMS data, Kimberly Rydbom is affiliated with Kaiser Sunnyside Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Rydbom was last updated on August 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.