Individual provider Active NPI

Kate Bayliss, MD, PHD

  • Emergency Medicine Physician
  • Roseburg, OR
National Provider Identifier
1194229146
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD203867 Issued in OR
Practice address
2700 NW Stewart Pkwy Dept of
Roseburg, OR 97471-1214
Phone
(541) 673-0611
NPI assigned
Mar 22, 2018
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X MD203867 OR Primary

Addresses

Primary practice location

2700 NW Stewart Pkwy Dept of
Roseburg, OR 97471-1214

Mailing address

2700 NW Stewart Pkwy Dept of
Roseburg, OR 97471-1214
Phone (541) 673-0611

Other practice location 1

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-4486

Other practice location 2

600 Ranch Rd
Reedsport, OR 97467-1795
Phone (541) 271-2171

Other identifiers 1

IdentifierTypeStateIssuer
500796201MedicaidOR

Other names 1

  • Dr. Kate Reid-Bayliss Former name

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
I20210723000977 OR Practitioner - Emergency Medicine 3577818079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD203867ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Umpqua Hospital District Current Accepting new patients
Lower Umpqua Hospital District CurrentSince Sep 1, 2022 Accepting new patients
Lower Umpqua Hospital District CurrentSince Sep 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Lower Umpqua Hospital District Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

600 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2171

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1194229146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 NW STEWART PKWY DEPT OF",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711214",
            "telephone_number": "541-673-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NW STEWART PKWY DEPT OF",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711214",
            "telephone_number": "541-673-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Metrohealth Dr",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44109",
            "country_code": "US",
            "telephone_number": "216-778-4486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Reedsport",
            "state": "OR",
            "postal_code": "974671795",
            "country_code": "US",
            "telephone_number": "541-271-2171",
            "fax_number": "541-271-6380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYLISS",
        "first_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD203867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500796201",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "REID-BAYLISS",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.