Active NPI
Kate Bayliss, MD, PHD
- Emergency Medicine Physician
- Roseburg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD203867
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500796201 | Medicaid | OR |
Other names 1
- Dr. Kate Reid-Bayliss
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
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD203867 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Umpqua Hospital District | Current | Accepting new patients | |
| Lower Umpqua Hospital District | Current | Accepting new patients | |
| Lower Umpqua Hospital District | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | 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.
-
- Critical Access Hospital
- Reedsport, OR
- NPI 1003874819
-
dba Lower Umpqua Hospital Pharmacy
- Community/Retail Pharmacy
- Reedsport, OR
- NPI 1336334754
-
dba Dunes Family Health Care
- Rural Health Clinic/Center
- Reedsport, OR
- NPI 1619900370
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Critical Access Hospital
- Reedsport, OR
- NPI 1538249081
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI Mercy Medical Center
- General Acute Care Hospital
- Roseburg, OR
- NPI 1477590198
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.