Individual provider Active NPI

Rebecca Gerber Kahn, MD

  • Diagnostic Radiology Physician
  • Vancouver, WA
National Provider Identifier
1003078767
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD60824248 Issued in WA
Practice address
4816 NE Thurston Way Ste a
Vancouver, WA 98662-6661
Phone
(360) 254-4914
Fax
(360) 892-1533
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD60824248 WA Primary

Addresses

Primary practice location

4816 NE Thurston Way Ste a
Vancouver, WA 98662-6661

Mailing address

4201 NE 66TH Ave Ste 104
Vancouver, WA 98661-3078
Phone (360) 823-4854

Other identifiers 2

IdentifierTypeStateIssuer
0388090OtherWALNI-RADIA
2062113MedicaidWA

Other names 1

  • Dr. Rebecca Erin Gerber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150327001298 OR Practitioner - Diagnostic Radiology 1052543816 Reassigns benefits to 1 organization
I20180406002049 WA Practitioner - Diagnostic Radiology 1052543816 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Warren Alpert Medical School of Brown University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

11508 SW Oak Creek Dr
Portland, OR 97219-8941
Phone (425) 563-1500

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-2161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jun 1, 2019 Accepting new patients

Locations

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

1619 NW Hawthorne Ave
Ste 102
Grants Pass, OR 97526
Phone (541) 471-6033

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

3250 SE 164th Ave
Ste 108
Vancouver, WA 98683
Phone (360) 254-4914

4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914

200 NE Mother Joseph Pl
Ste 420
Vancouver, WA 98664
Phone (360) 514-3979

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1003078767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 NE 66TH AVE STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613078",
            "telephone_number": "360-823-4854",
            "fax_number": "360-449-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 NE THURSTON WAY STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626661",
            "telephone_number": "360-254-4914",
            "fax_number": "360-892-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "REBECCA",
        "middle_name": "GERBER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60824248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-RADIA",
            "identifier": "0388090",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2062113",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GERBER",
            "middle_name": "ERIN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.