Organization Active NPI

Cascade Internal Medicine Specialists LLC

  • Primary Care Clinic/Center
  • Bend, OR
National Provider Identifier
1316957129
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CASCADE INTERNAL MEDICINE SPECIALISTS LLC
Practice address
2239 NE Doctors Dr Ste 200
Bend, OR 97701-7185
Phone
(541) 318-0124
Fax
(541) 318-0182
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Victoria Elaine Rowden
Title
Practice Manager
Phone
(541) 318-0124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2239 NE Doctors Dr Ste 200
Bend, OR 97701-7185

Mailing address

2239 NE Doctors Dr Ste 200
Bend, OR 97701-7185
Phone (541) 318-0124

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070111000583 OR Part B Supplier - Clinic/Group Practice 8426058694 Receives reassigned benefits from 3 practitioners
Practice locations: Bend, 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
38D2149535Cascade Internal Medicine2239 NE Doctors Dr, Bend, OR 97701Certificate of waiverJun 4, 2028

National Provider Directory

National Provider Directory

Locations

2115 NE Wyatt Ct
Ste 101
Bend, OR 97701
Phone (541) 318-0124

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1316957129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 NE DOCTORS DR STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017185",
            "telephone_number": "541-318-0124",
            "fax_number": "541-318-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 NE DOCTORS DR STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017185",
            "telephone_number": "541-318-0124",
            "fax_number": "541-318-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE INTERNAL MEDICINE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "ROWDEN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "541-318-0124"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.