Individual provider Active NPI

Peter Cabala, D.O.

  • Obstetrics & Gynecology Physician
  • Burns, OR
National Provider Identifier
1396843538
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO199989 Issued in OR
Practice address
559 W Washington St
Burns, OR 97720-1441
Phone
(541) 573-8312
Fax
(541) 573-8627
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 5101012996 MI
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X DO199989 OR Primary

Addresses

Primary practice location

559 W Washington St
Burns, OR 97720-1441

Mailing address

557 W Washington St
Burns, OR 97720-1441
Phone (541) 573-7281

Other practice location 1

1402 W Court St
Flint, MI 48503-5004
Phone (810) 767-3220

Other practice location 2

557 W Washington St
Burns, OR 97720-1441
Phone (541) 573-7281

Other identifiers 3

IdentifierTypeStateIssuer
1396843538MedicaidOR
114328964MedicaidMI
160B576250OtherMIBLUE CROSS BLUE SHIELD

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
I20201204002015 OR Practitioner - Obstetrics/Gynecology 5395809214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harney District HospitalGroup PAC ID 6800877424, 35 clinicians

Practice addresses (Care Compare)

557 W Washington St
Burns, OR 97720-1441
Phone (541) 573-7281

559 W Washington St
Burns, OR 97720-1441
Phone (541) 573-2074

Hospital & facility affiliations

  • Harney District Hospital Hospital, Burns, OR, CCN 381307

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harney District Hospital Multi-Specialty CurrentSince Dec 1, 2020 Accepting new patients
Harney District Hospital Multi-Specialty CurrentSince Dec 1, 2020 Accepting new patients
Harney District Hospital Multi-Specialty Past Accepting new patients

Locations

557 W Washington St
Burns, OR 97720
Phone (541) 573-3682

559 W Washington St
Burns, OR 97720
Phone (541) 573-2074

Interoperability endpoints

  • Direct secure messaging: pcabala112203@secure.stcharleshealthcare.org

Organizations & group practices 3

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 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1396843538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201441",
            "telephone_number": "541-573-7281",
            "fax_number": "810-767-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201441",
            "telephone_number": "541-573-8312",
            "fax_number": "541-573-8627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 W Court St",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485035004",
            "country_code": "US",
            "telephone_number": "810-767-3220",
            "fax_number": "810-767-7969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Burns",
            "state": "OR",
            "postal_code": "977201441",
            "country_code": "US",
            "telephone_number": "541-573-7281",
            "fax_number": "541-573-8627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALA",
        "first_name": "PETER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "5101012996",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "DO199989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396843538",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114328964",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "160B576250",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burns, OR

Sources for this page

Verify at the official NPI Registry.