Individual provider Active NPI

Gerda Ellen Tapelband, M.D.

  • Internal Medicine Physician
  • Bend, OR
National Provider Identifier
1114081551
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD20822 Issued in OR
Practice address
2160 NE Williamson CT
Bend, OR 97701-3760
Phone
(541) 389-1118
Fax
(541) 389-2662
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD20822 OR Primary

Addresses

Primary practice location

2160 NE Williamson CT
Bend, OR 97701-3760

Mailing address

2160 NE Williamson CT
Bend, OR 97701-3760
Phone (541) 389-1118

Other identifiers 1

IdentifierTypeStateIssuer
051781MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000158 OR Practitioner - Internal Medicine 0547164733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaic Community HealthGroup PAC ID 5395653497, 78 clinicians

Practice addresses (Care Compare)

2084 NE Professional CT
Bend, OR 97701-6077
Phone (541) 383-3005

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Health CurrentSince Jul 29, 2019 Accepting new patients
Bend Memorial Clinic PC Internal Medicine PastSince Jan 15, 2003 Accepting new patients

Locations

600 SW Columbia St
Ste 6150
Bend, OR 97702

2065 NE Tucson Way
Apt 110
Bend, OR 97701
Phone (541) 373-3005

2084 NE Professional Ct
Bend, OR 97701
Phone (541) 322-5753

375 NW Beaver St
Ste 101
Prineville, OR 97754
Phone (541) 316-6026

Interoperability endpoints

  • Direct secure messaging: gtapelband284183@direct.ochin.org

Organizations & group practices 2

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 2

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1114081551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 NE WILLIAMSON CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013760",
            "telephone_number": "541-389-1118",
            "fax_number": "541-389-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 NE WILLIAMSON CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013760",
            "telephone_number": "541-389-1118",
            "fax_number": "541-389-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPELBAND",
        "first_name": "GERDA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD20822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051781",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.