NPIMap

Individual provider Active NPI

Kathryn Beth Baker, DO

  • Rheumatology Physician
  • Portland, OR
National Provider Identifier
1245327295
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
DO24473 Issued in OR
Practice address
9555 SW Barnes Rd Ste 150
Portland, OR 97225-6691
Phone
(503) 297-3384
Fax
(503) 297-0863
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X DO24473 OR Primary

Addresses

Primary practice location

9555 SW Barnes Rd Ste 150
Portland, OR 97225-6691

Mailing address

9555 SW Barnes Rd Ste 150
Portland, OR 97225-6691
Phone (503) 297-3384

Other identifiers 1

IdentifierTypeStateIssuer
270002MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051229000762 OR Practitioner - Rheumatology 2769404037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Rheumatology Associates, PCGroup PAC ID 7214822899, 6 clinicians

Practice addresses (Care Compare)

9555 SW Barnes Rd
Suite 150
Portland, OR 97225-6691
Phone (503) 297-3384

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3742AZMDDentist
DO24473ORMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Rheumatology Associates, PC CurrentSince May 1, 2015 Accepting new patients
Ipn of Arizona, PLC Past Accepting new patients

Locations

9555 SW Barnes Rd
Ste 150
Portland, OR 97225
Phone (503) 297-3384

9155 SW Barnes Rd
Ste 314
Portland, OR 97225
Phone (503) 297-3384

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHBHDD

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 10

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1245327295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256691",
            "telephone_number": "503-297-3384",
            "fax_number": "503-297-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256691",
            "telephone_number": "503-297-3384",
            "fax_number": "503-297-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KATHRYN",
        "middle_name": "BETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OR",
            "license": "DO24473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270002",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.