Kan-Di-Ki LLC
NPI 1083926612 · Diagnostic Ultrasound Physician · Portland, OR
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kan-Di-Ki LLC is a Diagnostic Ultrasound Physician organization in Portland, OR (NPI 1083926612).
Provider details
- NPI number
- 1083926612
- Entity type
- Organization
- Primary specialty
- Diagnostic Ultrasound PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Cuomo, Authorized Official/Cfo(800) 786-8015
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Diagnostic Laboratories
- Doing business as
- Tridentcare
Registry dates
- Enumerated
- 2010-07-12
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Frequently asked questions
- What is Kan-Di-Ki LLC's NPI number?
- Kan-Di-Ki LLC's National Provider Identifier (NPI) is 1083926612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kan-Di-Ki LLC?
- Kan-Di-Ki LLC is classified in the NPPES registry as Diagnostic Ultrasound Physician (Allopathic & Osteopathic Physicians).
- Where is Kan-Di-Ki LLC located?
- Kan-Di-Ki LLC's practice location on file with NPPES is 17744 Ne San Rafael St, Portland, OR 97230-5927.
- What is Kan-Di-Ki LLC's phone number?
- The practice phone number listed in the NPPES registry for Kan-Di-Ki LLC is (800) 638-3240.
- Does Kan-Di-Ki LLC accept Medicare?
- Kan-Di-Ki LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kan-Di-Ki LLC?
- The authorized official listed on Kan-Di-Ki LLC's NPPES record is Brian Cuomo, Authorized Official/Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kan-Di-Ki LLC's NPI active?
- Yes — Kan-Di-Ki LLC's NPI (1083926612) is active in the NPPES registry as of the last update on 2026-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.