Organization Active NPI

Desert Peaks Health Care, LLC

  • Internal Medicine Physician
  • Redmond, OR
National Provider Identifier
1316489644
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DESERT PEAKS HEALTH CARE, LLC
Practice address
1555 SW Reindeer Ave
Redmond, OR 97756-9449
Phone
(541) 548-4088
Fax
(541) 548-3732
NPI assigned
Nov 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Anne Carissa KillingbeckNPI 1740471648
Title
MD
Phone
(503) 724-4032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1555 SW Reindeer Ave
Redmond, OR 97756-9449

Mailing address

1555 SW Reindeer Ave
Redmond, OR 97756-9449
Phone (541) 548-4088

Other practice location 1

415 First St
Fossil, OR 97830-8292
Phone (541) 548-4088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161223000095 OR Part B Supplier - Clinic/Group Practice 9739460148 Receives reassigned benefits from 3 practitioners
Practice locations: Fossil, OR; Redmond, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2125585Desert Peaks Health Care1555 SW Reindeer Ave, Redmond, OR 97756Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

1555 SW Reindeer Ave
Redmond, OR 97756
Phone (541) 548-4088

1555 SW Reindeer Ave
Ste 201
Redmond, OR 97756

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14996/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1316489644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SW REINDEER AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569449",
            "telephone_number": "541-548-4088",
            "fax_number": "541-548-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SW REINDEER AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569449",
            "telephone_number": "541-548-4088",
            "fax_number": "541-548-3732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 First St",
            "address_purpose": "LOCATION",
            "city": "Fossil",
            "state": "OR",
            "postal_code": "978308292",
            "country_code": "US",
            "telephone_number": "541-548-4088",
            "fax_number": "541-548-3732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT PEAKS HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "KILLINGBECK",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "CARISSA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "503-724-4032"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.