Maxwell Summerlin
Maxwell Summerlin is a Clinical Genetics (M.D.) Physician in Portland, OR, registered under NPI 1417533886.
Getting there
The practice address on file is 3181 SW SAM JACKSON PARK RD, Portland, OR 97239. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2025197 | OR | Clinical Genetics (M.D.) Physician primary |
This provider holds licence 2025197 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Pediatric Medicine
- PAC ID
- 4183027063
- Enrollment ID
- I20210729002857
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical Genetics (M.D.) covers
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. NUCC Health Care Provider Taxonomy, code 207SG0201X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1417533886 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 24, 2021 |
| Last updated | Apr 30, 2026 |
| Status | Active |
| Sole proprietor | No |
| Practice address |
3181 SW SAM JACKSON PARK RD Portland, OR 97239 (503) 494-8311 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 1 | 7 | 5 | 3 | 3 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 1 | 3 | 6 | 8 | 7 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.