Dr Daniel Joseph Kingsbury, MD - Medicare Pediatrics in Portland, OR

Dr Daniel Joseph Kingsbury, MD is a medicare enrolled "Pediatrics - Pediatric Rheumatology" physician in Portland, Oregon. His current practice location is 501 N Graham St Ste 355, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 413-3930.

Dr Daniel Joseph Kingsbury is licensed to practice in Oregon (license number MD22287) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396705414.

Contact Information

Dr Daniel Joseph Kingsbury, MD
501 N Graham St Ste 355,
Portland, OR 97227-2005
(503) 413-3930
(503) 413-3948

Map and Direction




Physician's Profile

Full NameDr Daniel Joseph Kingsbury
GenderMale
SpecialityPediatrics - Pediatric Rheumatology
Location501 N Graham St Ste 355, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396705414
  • Provider Enumeration Date: 03/23/2006
  • Last Update Date: 01/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810073699
  • Enrollment ID: I20080319000204

Medical Identifiers

Medical identifiers for Dr Daniel Joseph Kingsbury such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396705414NPI-NPPES
288457MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD22287 (Oregon)Secondary
2080P0216XPediatrics - Pediatric Rheumatology MD22287 (Oregon)Primary

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. Dr Daniel Joseph Kingsbury allows following entities to bill medicare on his behalf.
Entity NameUniversity Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013

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. Dr Daniel Joseph Kingsbury 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 AddressPractice Location Address
Dr Daniel Joseph Kingsbury, MD
501 N Graham St Ste 355,
Portland, OR 97227-2005

Ph: (503) 413-3930
Dr Daniel Joseph Kingsbury, MD
501 N Graham St Ste 355,
Portland, OR 97227-2005

Ph: (503) 413-3930

Reviews and Comments


Pediatrics Doctors in Portland, OR

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Dr. Peter H Chang, DO
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Phone: 503-595-9300    

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