Individual provider Active NPI

Katherine T.S. Cayetano, MD

  • Pulmonary Disease Physician
  • Richland, WA
National Provider Identifier
1376741603
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD60322666 Issued in WA
Practice address
1100 Goethals Drive, Third Floor
Kadlec Clinic Pulmonary & Critical Care
Richland, WA 99352
Phone
(509) 942-3095
Fax
(509) 942-3266
NPI assigned
Jul 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD60322666 WA
Pulmonary Disease Physician 207RP1001X MD60322666 WA Primary

Addresses

Primary practice location

1100 Goethals Drive, Third Floor
Kadlec Clinic Pulmonary & Critical Care
Richland, WA 99352

Mailing address

3900 S Zintel Way
Kennewick, WA 99338
Phone (509) 942-3627

Other identifiers 2

IdentifierTypeStateIssuer
500660299MedicaidOR
1376741603MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcayetano805565@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20130627000869 WA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3870625452 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

1100 Goethals Dr
Suite E
Richland, WA 99352-3301
Phone (509) 942-2986

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince Jul 15, 2013 Accepting new patients
Providence Health & Services - Washington CurrentSince Jun 1, 2017 Accepting new patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Kadlec Regional Medical Center CurrentSince Jul 15, 2013 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Nov 22, 2014 Accepting new patients
Kadlec Regional Medical Center Current Accepting new patients
Providence Health & Services - Washington CurrentSince Jun 1, 2017 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Nov 22, 2014 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

3900 S Zintel Way
Kennewick, WA 99337
Phone (509) 942-3125

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1100 Goethals Dr
Ste 2
Richland, WA 99352

1100 Goethals Dr
Ste E
Richland, WA 99352
Phone (509) 942-3095

1100 Goethals Dr
Ste 22ND
Richland, WA 99352

550 Gage Blvd
Ste 101
Richland, WA 99352

1100 Goethals Dr
Fl Third
Richland, WA 99352
Phone (509) 942-3095

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

Interoperability endpoints

  • Direct secure messaging: kcayetano805565@wm.providencedirect.org

Organizations & group practices 9

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 5

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": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1376741603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S ZINTEL WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99338",
            "telephone_number": "509-942-3627",
            "fax_number": "509-942-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GOETHALS DRIVE, THIRD FLOOR",
            "address_2": "KADLEC CLINIC PULMONARY & CRITICAL CARE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-942-3095",
            "fax_number": "509-942-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYETANO",
        "first_name": "KATHERINE",
        "middle_name": "T.S.",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD60322666",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD60322666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500660299",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376741603",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcayetano805565@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 Goethals Drive, Third Floor",
            "address_2": "Kadlec Clinic Pulmonary & Critical Care",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.