Individual provider

Peggy Kelley, MD

Pediatric Otolaryngology Physician Medicare enrolled

Peggy Kelley, MD is a Pediatric Otolaryngology Physician in Portland, OR, registered under NPI 1689777476.

Getting there

The practice address on file is 9427 SW BARNES RD STE 395, Portland, OR 97225. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

9427 SW BARNES RD STE 395, Portland, OR 97225 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD196930 OR Pediatric Otolaryngology Physician primary
37368 CO Pediatric Otolaryngology Physician

Licences are recorded in 2 states: OR, CO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Otolaryngology
PAC ID
9335130905
Enrollment ID
I20200324002329

Medicare enrolment is recorded as approved under the provider type Practitioner - Otolaryngology. 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.

Licensed in 2 states

This provider holds licences in 2 states: Colorado and Oregon. The practice address on file is in Portland, OR, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CO Colorado
Licence
37368
Specialty
Pediatric Otolaryngology Physician
Verify with the CO board →
OR Oregon practice address
Licence
MD196930
Specialty
Pediatric Otolaryngology Physician
Verify with the OR board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pediatric Otolaryngology covers

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. NUCC Health Care Provider Taxonomy, code 207YP0228X
Allopathic & Osteopathic Physicians Otolaryngology Pediatric Otolaryngology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207YP0228X Pediatric Otolaryngology Physician Pediatric Otolaryngology MD196930 OR primary
207YP0228X Pediatric Otolaryngology Physician Pediatric Otolaryngology 37368 CO

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.

NPI1689777476 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 7, 2006
Last updatedMar 18, 2021
StatusActive
Sole proprietorNo
CredentialMD
Practice address 9427 SW BARNES RD STE 395
Portland, OR 97225
(503) 216-6050
Mailing address PO BOX 3158
Portland, OR 97208
Other identifiers 01373687 · Medicaid (CO)
The last update on file is Mar 18, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1689777476 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 6 8 9 7 7 7 4 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 7 9 5 7 5 4 5

Sum = 74 · next multiple of 10 = 80 · 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.

Common questions

What is NPI number 1689777476?
NPI 1689777476 is the National Provider Identifier assigned to Peggy Kelley, MD in Portland, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Otolaryngology cover?
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in…
How do I contact Peggy Kelley, MD?
The phone number on file with NPPES is (503) 216-6050, last updated Mar 18, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Peggy Kelley, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1689777476 a valid number?
Yes. 1689777476 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.