Individual provider Active NPI

Kaare E Tingelstad, DO

  • Family Medicine Physician
  • Baker City, OR
National Provider Identifier
1306891783
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO24126 Issued in OR
Practice address
3325 Pocahontas
Baker City, OR 97814
Phone
(541) 523-8111
Fax
(541) 523-1738
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO24126 OR Primary

Addresses

Primary practice location

3325 Pocahontas
Baker City, OR 97814

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (541) 523-8111

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
I20031217001015 OR Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6305743246 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wallowa County Health Care District Current Accepting new patients
Wallowa County Health Care District Family Medicine Current Accepting new patients
Frontier Family Medicine PC Family Medicine Past Accepting new patients
Jamie Slagel Lac LLC PastSince Dec 27, 2020 Accepting new patients
Wallowa County Health Care District Past Accepting new patients

Locations

601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111

603 Medical Pkwy
Enterprise, OR 97828
Phone 5414264502215

Interoperability endpoints

  • Direct secure messaging: ktingelstad1563738@direct.trinity-health.org

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1306891783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "541-523-8111",
            "fax_number": "541-523-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 POCAHONTAS",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "97814",
            "telephone_number": "541-523-8111",
            "fax_number": "541-523-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGELSTAD",
        "first_name": "KAARE",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO24126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

Verify at the official NPI Registry.