Cc Doctors Center Portland, PLLC
NPI 1821544396ActiveOrganization· General Practice· Portland, TX
General Practice in Portland, Texas, registered in NPPES in August 2016. The authorized official on file is James Keith Rose, M.D., President Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821544396 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2016 |
| Last updated in NPPES | Dec 18, 2024 |
| Certified by provider | Dec 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Emergency Medicine | 207P00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | J4486 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|