TIMOTHY KADDIS MD
NPI 1952930646
Student in an Organized Health Care Education/Training Program in Portland, OR
About Timothy Kaddis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY KADDIS MD (NPI 1952930646) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Timothy Kaddis Md 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.
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 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Timothy Kaddis's NPI number?
The NPI number for Timothy Kaddis is 1952930646. It was assigned to this individual provider in the NPPES registry on April 4, 2020.
Where is Timothy Kaddis located?
Timothy Kaddis practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.
What is Timothy Kaddis's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Timothy Kaddis enrolled in Medicare?
Yes. Timothy Kaddis 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.
When was this NPI record last updated?
The NPPES record for Timothy Kaddis was last updated on April 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Timothy Kaddis, MD · NPI 1952930646
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 4, 2020.
## Identity
- **NPI:** 1952930646 (Entity type: Individual)
- **Enumerated:** April 4, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3098
- **Phone:** (503) 494-8211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 4, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1952930646) · Data from the CMS NPPES public registry.