Kaiser Central Peritoneal Dialysis Facility – End-Stage Renal Disease (ESRD) Treatment Clinic/Center, NPI 1366027856

Kaiser Central Peritoneal Dialysis Facility is a healthcare provider. based in Portland, Oregon. specializing in End-Stage Renal Disease (ESRD) Treatment Clinic/Center. The NPI Number for Kaiser Central Peritoneal Dialysis Facility is 1366027856

Main info

Organization
Name
Kaiser Central Peritoneal Dialysis Facility
NPI
1366027856
Phone
(800) 813-2000
Address
500 NE MULTNOMAH ST
Authorized Official
SHAWN BARTON EXECUTIVE DIRECTOR, REVENUE CYCLE
Enumeration Date
16 March 2021
Last Update Date
23 June 2022

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness90
Years active:5State licenses:0Updated within 12 months

Provider Addresses for Kaiser Central Peritoneal Dialysis Facility

  • 500 NE MULTNOMAH ST

    PORTLAND, OR 972322023

    Phone: (800) 813-2000

    Type: Mailing

  • 3600 N INTERSTATE AVE

    PORTLAND, OR 972271106

    Phone: (800) 813-2000

    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: 2021-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-08-31 (84 days away).

Enrollment records

1

Earliest due date

2026-08-31

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
O20210604001067OEnd-Stage Renal Disease Facility (Esrd)OR2026-08-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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 97232)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Kaiser Central Peritoneal Dialysis Facility?
Kaiser Central Peritoneal Dialysis Facility — NPI 1366027856 — is the standard way to identify this listing.
Does the file indicate Kaiser Central Peritoneal Dialysis Facility is practicing under active NPI?
Directory data currently reports Kaiser Central Peritoneal Dialysis Facility as active.
What is Kaiser Central Peritoneal Dialysis Facility's primary classification?
End-Stage Renal Disease (ESRD) Treatment Clinic/Center is the headline specialty for Kaiser Central Peritoneal Dialysis Facility here. Clinical services aligned with this taxonomy classification.
Where should I expect Kaiser Central Peritoneal Dialysis Facility on a map?
Expect Portland, Oregon as a primary anchor for Kaiser Central Peritoneal Dialysis Facility unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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