Active NPI
Peter Cabala, D.O.
- Obstetrics & Gynecology Physician
- Burns, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DO199989
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 5101012996 | MI | |
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396843538 | Medicaid | OR | |
| 114328964 | Medicaid | MI | |
| 160B576250 | Other | MI | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harney District Hospital | Multi-Specialty | Current | Accepting new patients |
| Harney District Hospital | Multi-Specialty | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.