Active NPI
South Sound Inpatient Physicians PLLC
- Hospitalist Physician
- Oregon City, OR
National Provider Identifier
1053578237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- SOUTH SOUND INPATIENT PHYSICIANS PLLC
- Practice address
- 1500 Division St
Oregon City, OR 97045-1527 - Phone
- (503) 656-1631
- NPI assigned
- May 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Kodjababian, COO
- Title
- Coo
- Phone
- (253) 682-1710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1500 Division St
Oregon City, OR 97045-1527
Mailing address
PO Box 60000
File 31045
San Francisco, CA 94160-0000
Phone (253) 529-9724
Other names 1
- Sound Inpatient Physicians
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050401000747 | OR | Part B Supplier - Clinic/Group Practice | 5991618738 |
Receives reassigned benefits from 101 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: McMinnville, OR; Medford, OR; Milton Freewater, OR; Portland, OR; Roseburg, OR; Salem, OR; Springfield, OR; Woodburn, OR… |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
O20050401000747
-
- Hospitalist Physician
- Redmond, OR
- NPI 1760659106
O20050401000747
-
- Hospitalist Physician
- Grants Pass, OR
- NPI 1780841965
O20050401000747
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238544000000",
"number": "1053578237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60000",
"address_2": "FILE 31045",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941600000",
"telephone_number": "253-529-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DIVISION ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451527",
"telephone_number": "503-656-1631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SOUND INPATIENT PHYSICIANS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-16",
"last_updated": "2009-04-01",
"status": "A",
"authorized_official_last_name": "KODJABABIAN",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "253-682-1710",
"authorized_official_credential": "COO"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sound Inpatient Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.