KENNETH L RHOADS (M.D.) – Cardiovascular Disease Physician, NPI 1912904103

KENNETH L RHOADS (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in Cardiovascular Disease Physician. They hold the professional credentials M.D.. They hold a License No. MD11869 (OR). The NPI Number for KENNETH L RHOADS (M.D.) is 1912904103

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH L RHOADS (M.D.)
NPI
1912904103
Phone
(503) 413-3900
Address
PO BOX 3777
Enumeration Date
1 July 2005
Last Update Date
1 February 2017

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
5034137162
Graduation Year
1974 (52 years ago)
PAC ID
1456348150
Group Practice PAC ID
0244144004
Professional Enrollment ID
I20040426001639
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for KENNETH L RHOADS (M.D.)

  • 3777, Southeast Naef Road, Concord, Portland, Metro, Clackamas County, Oregon, 97267, United States

    PORTLAND, OR 972083777

    Phone: (503) 413-3900

    Fax: (503) 413-3710

    Type: Mailing

  • 1960 NW 167TH PL., SUITE 205

    BEAVERTON, OR 97006

    Phone: (503) 413-7162

    Fax: (503) 672-6131

    Type: Location

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: 2004-04-26

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
I20040426001639ICardiovascular Disease (Cardiology)ORTBD

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 97208)

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Provider's Procedures

KENNETH L RHOADS (M.D.) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)OR78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1212
CARDIOVASCULAR DISEASE (CARDIOLOGY)OR93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report284215

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: 0244144004View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineOR
Vascular Surgery, General SurgeryOR
Internal MedicineOR
Internal MedicineOR
Physician AssistantOR
Internal MedicineOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Critical Care (Intensivists)OR
-OR
Internal MedicineOR

Reviews

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Frequently asked questions

What identifier follows KENNETH L RHOADS (M.D.) across health systems?
The NPI 1912904103 uniquely identifies KENNETH L RHOADS (M.D.) in U.S. healthcare data.
Quick check: is KENNETH L RHOADS (M.D.) active?
Public NPPES data shows KENNETH L RHOADS (M.D.) with an active NPI status right now.
How should patients interpret KENNETH L RHOADS (M.D.)'s specialty?
The extract shows Cardiovascular Disease Physician for KENNETH L RHOADS (M.D.). Clinical services aligned with this taxonomy classification.
Is KENNETH L RHOADS (M.D.) tied to Portland, Oregon?
If you are local to Portland, Oregon, KENNETH L RHOADS (M.D.) may be relevant to your search.
Why is information missing for KENNETH L RHOADS (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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