NORTHWEST RENAL CLINIC, INC.
NPI 1982931333
Internal Medicine - Nephrology in Portland, OR

Active since November 05, 2009CLIA 38D1107523 · Microscopy
4224 NE HALSEY ST STE 300, PORTLAND, OR 97213(503) 235-5509(503) 235-5335 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2023, Jun 29, 2021 (2 updates tracked since 2021).

About Northwest Renal Clinic, Inc. NPPES

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

NORTHWEST RENAL CLINIC, INC. (NPI 1982931333) is a healthcare organization registered as a nephrology in Portland, Oregon and active in the NPI registry since November 2009. The organization holds a CLIA Microscopy certificate valid through November 5, 2027 and lists Clayton M Smiley, Md, as its authorized official.

NPPES Registry Identity

NPI1982931333
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNORTHWEST RENAL CLINIC, INC.
Location Address4224 NE HALSEY ST STE 300Portland, OR 97213-1568
Mailing Address1130 Nw 22nd Ave, Suite 640Portland, OR 97210-5488 · (503) 229-7976 · Fax (503) 274-4867
Fax(503) 235-5335
Organization SubpartNo
Authorized OfficialClayton M SmileyMd · (503) 229-7976
Enumeration DateNovember 5, 2009
Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1982931333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
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.
4224 NE HALSEY ST STE 300, Portland, OR 97213

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Renal Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Northwest Renal Clinic, Inc., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nephrology24
Nurse Practitioner6
Internal Medicine1

Nearest to this location (20)

See all 31
Nephrology
NPI 1932367117
4224 NE HALSEY ST STE 300
Portland, OR 97213
(503) 235-5509
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1083825251
4224 NE HALSEY ST STE 300
Portland, OR 97213
(503) 235-5509
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1568440584
4224 NE HALSEY ST STE 300
Portland, OR 97213
(503) 235-5509
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1174777973
4224 NE HALSEY ST STE 300
Portland, OR 97213
(503) 235-5509
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1316172984
4224 NE HALSEY ST STE 300
Portland, OR 97213
(503) 235-5509
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891402269
4224 NE HALSEY ST STE 300
Portland, OR 97213
(503) 235-5509
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1205248523
4224 NE HALSEY ST STE 300
Portland, OR 97213
(503) 235-5509
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1760507867
4224 NE HALSEY ST STE 300
Portland, OR 97213
(503) 235-5509
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447968607
10201 SE MAIN ST STE 27
Portland, OR 97216
(503) 256-0877
✔ PECOS✔ Accepts Medicare3.3 mi
Nephrology
NPI 1528487527
10201 SE MAIN ST STE 27
Portland, OR 97216
(503) 256-0877
✔ PECOS✔ Accepts Medicare3.3 mi
Nephrology
NPI 1467478289
10201 SE MAIN ST STE 27
Portland, OR 97216
(503) 256-0877
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1730748732
10201 SE MAIN ST STE 27
Portland, OR 97216
(503) 256-0877
✔ PECOS✔ Accepts Medicare3.3 mi
Nephrology
NPI 1497723555
1130 NW 22ND AVENUE, STE 640
Portland, OR 97210
(503) 229-7976
✔ PECOS✔ Accepts Medicare3.7 mi
Internal Medicine
NPI 1265056626
1130 NW 22ND AVENUE, STE 640
Portland, OR 97210
(503) 229-7976
✔ PECOS✔ Accepts Medicare3.7 mi
Nephrology
NPI 1770016198
1130 NW 22ND AVE STE 640
Portland, OR 97210
(503) 229-7976
✔ PECOS✔ Accepts Medicare3.7 mi
Nephrology
NPI 1427348150
1130 NW 22ND AVE STE 640
Portland, OR 97210
(503) 229-7976
✔ PECOS✔ Accepts Medicare3.7 mi
Nephrology
NPI 1679544431
1130 NW 22ND AVENUE, STE 640
Portland, OR 97210
(503) 229-7976
✔ PECOS✔ Accepts Medicare3.7 mi
Nephrology
NPI 1619555612
1130 NW 22ND AVE STE 640
Portland, OR 97210
(503) 229-7976
✔ PECOS3.7 mi
Nephrology
NPI 1144298209
9155 SW BARNES RD STE 402
Portland, OR 97225
(503) 292-7704
✔ PECOS✔ Accepts Medicare7.5 mi
Nephrology
NPI 1750700076
9155 SW BARNES RD STE 402
Portland, OR 97225
(503) 292-7704
✔ PECOS✔ Accepts Medicare7.5 mi
See all 31 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D1107523

Northwest Renal Clinic Inc · Portland, OR
Active · expires Nov 5, 2027
CLIA Number38D1107523
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorTodd Hilbelink MD
Laboratory Phone(503) 235-5509
Laboratory LocationNorthwest Renal Clinic Inc4224 NE Halsey St, Ste 300, Portland, OR 97213
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Northwest Renal Clinic, Inc.'s NPI number?

The NPI number for Northwest Renal Clinic, Inc. is 1982931333. It was assigned to this organization in the NPPES registry on November 5, 2009.

Where is Northwest Renal Clinic, Inc. located?

Northwest Renal Clinic, Inc. is located at 4224 NE Halsey St Ste 300, Portland, OR 97213. The listed phone number is (503) 235-5509.

What is Northwest Renal Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Northwest Renal Clinic, Inc. enrolled in Medicare?

Yes. Northwest Renal Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Renal Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 3 Medicare specialties reassign their Medicare billing to Northwest Renal Clinic, Inc.. A 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 the clinician's services. The largest specialties are Nephrology (24), Nurse Practitioner (6) and Internal Medicine (1). Of these, 8 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northwest Renal Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D1107523) is associated with this NPI, valid through November 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northwest Renal Clinic, Inc. accept?

Health plans from Providence Health Plan list Northwest Renal Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Renal Clinic, Inc. was last updated on July 12, 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.