Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly John Caverzagie, MD

Individual provider Internal Medicine Physician · NPI 1033158084

Kelly John Caverzagie, MD is a Hospitalist in Portland, Oregon. Qualified in 2001, 25 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska, Oregon and Pennsylvania.

Years since qualifying
25
Licensed in
NE, OR, PA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-1164
Fax: (503) 494-5502
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 988102 Nebraska Medical Center, Omaha, NE 68198-8102 — (402) 595-3939

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD222456 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD222456 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 22784 (NE)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD426638 (PA)

Record details

NPI number1033158084
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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