Active NPI
Kimberly Marie Mauer, M.D.
- Pain Medicine (Anesthesiology) Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MD25897
- Practice address
- 3181 SW Sam Jackson Park Rd
Mail Code Uhs-2
Portland, OR 97239-3011 - Phone
- (503) 494-7641
- Fax
- (503) 494-3092
- NPI assigned
- Aug 27, 2006
- Last updated
- Jul 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD25897 | OR | Primary |
| Anesthesiology Physician | 207L00000X | MD25897 | OR |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Mail Code Uhs-2
Portland, OR 97239-3011
Mailing address
2124 NW 16TH Ave
Portland, OR 97209-2564
Phone (503) 494-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240567 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University Central del Caribe Escuela de Medicina, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Oregon Health and Science University
Practice addresses (Care Compare)
15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone (503) 494-3442
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
3303 S Bond Ave
Portland, OR 97239-4501
Phone (503) 494-8311
3930 SE Division St
Portland, OR 97202-1643
Phone (503) 418-3900
707 SW Gaines St
Portland, OR 97239-2901
Phone (503) 494-8905
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.65
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25897 | OR | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Current | Accepting new patients | |
| Oregon Health & Science University | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Oregon Health & Science University | Current | Accepting new patients | |
| Oregon Health & Science University | Current | Accepting new patients | |
| Oregon Health & Science University | Current | Accepting new patients | |
| Oregon Health & Science University | Current | Accepting new patients | |
| University Anesthesiology Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Oregon Health & Science University | Current | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Stanford Health Care | Anesthesiology | Past | Accepting new patients |
Locations
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
300 Pasteur Dr
#5500
Stanford, CA 94305
Phone (415) 723-5525
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3181 SW Sam Jackson Park Rd
#2
Portland, OR 97239
Phone (503) 494-4910
3930 SE Division St
Portland, OR 97202
Phone (503) 418-3900
707 SW Gaines St
Portland, OR 97239
Phone (503) 492-2709
Interoperability endpoints
- kmauermd41841@direct.ohsu.edu
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
dba OHSU Scappoose Rural Health Clinic
- Rural Health Clinic/Center
- Scappoose, OR
- NPI 1417969304
-
- Clinic/Center
- Portland, OR
- NPI 1972688919
-
- Anesthesiology Physician
- Portland, OR
- NPI 1841217817
-
- Community/Retail Pharmacy
- Beaverton, OR
- NPI 1114164381
-
dba Ohsu East Portland Pharmacy
- Community/Retail Pharmacy
- Portland, OR
- NPI 1457129678
-
dba OHSU Richmond Health Center
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1477675148
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
dba OHSU Home Infusion Pharmacy
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
Anesthesiology
-
dba SHC Reference Laboratory
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1154439578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2124 NW 16TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092564",
"telephone_number": "503-494-7246",
"fax_number": "503-494-7935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "MAIL CODE UHS-2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-7641",
"fax_number": "503-494-3092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUER",
"first_name": "KIMBERLY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-27",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OR",
"license": "MD25897",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD25897",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240567",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.