Kathleen Balazy Jaffe, M.D., MPH

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

203975 Issued in OR

Practice address

Kaiser Permanente Interstate Radiation Oncology
3620 N Interstate Ave
Portland, OR 97227-9722

Phone

(503) 280-2931

NPI assigned

Apr 23, 2015

Last updated

Jul 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Katy Elizabeth Balazy Former name

Medicare fee-for-service enrollment

Enrolled in OR, WA, CA3 enrollments

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 3

Specialty

Radiation Oncology

Education

Harvard Medical School, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marin Cancer Care, Inc.Group PAC ID 1557542289, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marin Cancer Care Inc

  • Hematology & Oncology Physician
  • Greenbrae, CA
  • NPI 1629370499

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527

  Single Specialty, WA

  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1306192455
  NPD
• Kaiser Foundation Health Plan of the Northwest

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1942718622
  NPD
• California Cancer Care, Inc.

  • Specialist
  • Greenbrae, CA
  • NPI 1417930744
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  Care Compare affiliation

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1386031649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271106",
            "telephone_number": "800-813-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAISER PERMANENTE INTERSTATE RADIATION ONCOLOGY",
            "address_2": "3620 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972279722",
            "telephone_number": "503-280-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "KATHLEEN",
        "middle_name": "BALAZY",
        "credential": "M.D., MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD.MD.61148904",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OR",
            "license": "203975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "BALAZY",
            "middle_name": "ELIZABETH",
            "credential": "M.D., MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melika Jafari
• Nadia Jafari, PHD
• Sahar Jaferian, DMD
• Ahmad Jaffas
• Arthur Cherny Jaffe, MD
• Irum M Jaffri
• Mubeen Jafri, MD
• Durairaj Jagajeevanram, M.D
• Benjamin Jager
• Amanda Jagerman

• Radiation Oncology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Radiation Oncology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.