KOENRAAD DE GEEST (MD) – Gynecologic Oncology Physician, NPI 1093702862

KOENRAAD DE GEEST (MD) is a healthcare provider. based in Portland, Oregon. specializing in Gynecologic Oncology Physician. They hold the professional credentials MD. They hold a License No. 35280 (IA). The NPI Number for KOENRAAD DE GEEST (MD) is 1093702862

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
KOENRAAD DE GEEST (MD)
NPI
1093702862
Phone
(503) 418-4500
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
5 October 2005
Last Update Date
20 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034948311
Graduation Year
1977 (49 years ago)
PAC ID
9032016209
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20130906000022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for KOENRAAD DE GEEST (MD)

  • United States Postal Service, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Multnomah County, Oregon, 97239, United States

    MC:L466

    PORTLAND, OR 972393011

    Phone: (503) 418-4500

    Fax: (503) 494-4473

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130906000022IGynecological OncologyORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97239)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880760107View full group profile

Reviews

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Frequently asked questions

Is there an official ID for KOENRAAD DE GEEST (MD) in U.S. healthcare records?
The official identifier for KOENRAAD DE GEEST (MD) is NPI 1093702862.
Active or inactive — what applies to KOENRAAD DE GEEST (MD)?
You should see KOENRAAD DE GEEST (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to KOENRAAD DE GEEST (MD)?
KOENRAAD DE GEEST (MD)'s specialty line reads Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
Is KOENRAAD DE GEEST (MD) located near Portland?
KOENRAAD DE GEEST (MD) currently maps to Portland, Oregon in this extract.
Does KOENRAAD DE GEEST (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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