Aumyot Prongdong, MD in Portland, OR

Aumyot Prongdong, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Portland, Oregon. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Northwest Renal Clinic Inc, Northwest Renal Clinic Inc and his current practice location is 10201 Se Main St Ste 27, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 256-0877.

Aumyot Prongdong is licensed to practice in Oregon (license number MD176147) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881851368.

Contact Information

	Aumyot Prongdong, MD
	10201 Se Main St Ste 27, Portland, OR 97216-2937
	(503) 256-0877
	(503) 256-4188

Map and Direction

Physician's Profile

Full Name	Aumyot Prongdong
Gender	Male
Speciality	Nephrology
Experience	23 Years
Location	10201 Se Main St Ste 27, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Aumyot Prongdong graduated from medical school in 2001

NPI Data:

NPI Number: 1881851368
Provider Enumeration Date: 05/21/2008
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 9133243371
Enrollment ID: I20160711001345

Medical Identifiers

Medical identifiers for Aumyot Prongdong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881851368	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	MD-20827 (Hawaii)	Secondary
207RN0300X	Internal Medicine - Nephrology	MD176147 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fmc Clackamas Kidney Center	Clackamas, OR	Dialysis facility
Woodburn Dialysis	Woodburn, OR	Dialysis facility
Qualicenters - Salem Ltd	Salem, OR	Dialysis facility
Fmc Dialysis Mt Hood	Gresham, OR	Dialysis facility
Fmc Maywood Park	Portland, OR	Dialysis facility
Adventist Health Portland	Portland, OR	Hospital
Legacy Mount Hood Medical Center	Gresham, OR	Hospital
Legacy Meridian Park Medical Center	Tualatin, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwest Renal Clinic Inc	8628065836	35
Northwest Renal Clinic Inc	8628065836	35

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Aumyot Prongdong allows following entities to bill medicare on his behalf.

Entity Name	Northwest Renal Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679752273 PECOS PAC ID: 8628065836 Enrollment ID: O20040429000295

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aumyot Prongdong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Aumyot Prongdong, MD 1130 Nw 22nd Ave Ste 640, Portland, OR 97210-2993 Ph: (503) 229-7976	Aumyot Prongdong, MD 10201 Se Main St Ste 27, Portland, OR 97216-2937 Ph: (503) 256-0877

Reviews and Comments

Internal Medicine Doctors in Portland, OR

Salona Shrestha, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392
Dr. Emmanuel Trungtoan Tavan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901
Ginevra Lois Liptan, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808
Donald Richard Sullivan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949
Dr. Victor Nguyen Pham, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906
Richa Uppal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697
Reem Hasan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562

Aumyot Prongdong, MD - Medicare Nephrology in Portland, OR