Individual provider Active NPI

Paula K Shultz, MD

  • Diagnostic Radiology Physician
  • Bend, OR
National Provider Identifier
1407047103
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD27301 Issued in OR
Practice address
1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone
(541) 382-6633
Fax
(541) 382-2719
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD27301 OR Primary

Addresses

Primary practice location

1460 NE Medical Center Dr
Bend, OR 97701-6061

Mailing address

1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone (541) 382-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201006001329 UT Practitioner - Diagnostic Radiology 7618301078 Reassigns benefits to 1 organization
I20211018002883 ID Practitioner - Diagnostic Radiology 7618301078

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bend Memorial Clinic PC Current Accepting new patients
Cascade Medical Imaging LLC Diagnostic Radiology CurrentSince May 29, 2020 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 8, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Sep 8, 2020 Accepting new patients

Locations

1460 NE Medical Center Dr
Ste 170
Bend, OR 97701

1460 NE Medical Center Dr
Bend, OR 97701
Phone (541) 598-3218

2500 NE Neff Rd
Ste 120
Bend, OR 97701

61270 SE Coombs Pl
Ste 100
Bend, OR 97702
Phone (541) 408-9310

1460 NE Medical Center Dr
#180
Bend, OR 97701

1460 NE Medical Center Dr
Ste 180
Bend, OR 97701
Phone (541) 408-7691

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

2500 NE Neff Rd
#1
Bend, OR 97701

1693 SW Chandler Ave
Ste 120
Bend, OR 97702
Phone (541) 388-0673

470 NE A St
Madras, OR 97741
Phone (541) 383-3668

384 SE Combs Flat Rd
Ste 1100
Prineville, OR 97754
Phone (541) 598-3221

1531 NW Canal Blvd
Ste 100
Redmond, OR 97756
Phone (541) 923-4202

1523 NW Canal Blvd
Ste 101
Redmond, OR 97756
Phone (541) 316-8791

1253 NW Canal Blvd
Ste 100
Redmond, OR 97756
Phone (541) 548-8131

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1407047103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-382-6633",
            "fax_number": "541-382-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-382-6633",
            "fax_number": "541-382-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "PAULA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD27301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.