Individual provider Active NPI

Mendy Maccabee, MD

  • Otolaryngology Physician
  • Hood River, OR
National Provider Identifier
1205927134
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD177898 Issued in OR
Practice address
1784 May St
Hood River, OR 97031-1353
Phone
(541) 436-3880
Fax
(541) 436-3881
NPI assigned
Sep 27, 2006
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD177898 OR Primary

Addresses

Primary practice location

1784 May St
Hood River, OR 97031-1353

Mailing address

1784 May St
Hood River, OR 97031-1353
Phone (541) 436-3880

Other identifiers 1

IdentifierTypeStateIssuer
CB207418OtherCAMEDICARE ID

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
I20040512001116 OR Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 4981694007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
University of Washington School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendy S Maccabee MD Consultant LLCGroup PAC ID 7911330329, 2 clinicians

Practice addresses (Care Compare)

1784 May St
Hood River, OR 97031-1353
Phone (541) 436-3880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
10.88 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
36.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD177898ORMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Health Care System CurrentSince Jul 10, 2022 Accepting new patients
Good Shepherd Health Care System CurrentSince Jul 10, 2022 Accepting new patients
Mendy S Maccabee MD Consultant LLC Otolaryngology CurrentSince Sep 20, 2019 Accepting new patients
David L Maccabee MD PC PastSince Nov 24, 2019 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

1784 May St
Hood River, OR 97031
Phone (541) 386-4511

1790 May St
Hood River, OR 97031
Phone (541) 310-8070

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 3

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1205927134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 MAY ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311353",
            "telephone_number": "541-436-3880",
            "fax_number": "541-436-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 MAY ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311353",
            "telephone_number": "541-436-3880",
            "fax_number": "541-436-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCABEE",
        "first_name": "MENDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD177898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB207418",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.