NPIMap

Individual provider Active NPI

Cindy Ann Konecne, DO

  • Family Medicine Physician
  • Medford, OR
National Provider Identifier
1427068519
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO20779 Issued in OR
Practice address
3524 Heathrow Way
Medford, OR 97504-2770
Phone
(541) 646-3505
Fax
(541) 646-3553
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO20779 OR Primary

Addresses

Primary practice location

3524 Heathrow Way
Medford, OR 97504-2770

Mailing address

2900 Doctors Park Dr
Medford, OR 97504-8127
Phone (541) 282-2200

Other identifiers 1

IdentifierTypeStateIssuer
150528MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000250 OR Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2860520798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rogue Valley PhysiciansGroup PAC ID 1850374240, 22 clinicians

Practice addresses (Care Compare)

2900 Doctors Park Dr
Medford, OR 97504-4348
Phone (541) 282-2208

2900 Doctors Park Dr
Suite 200
Medford, OR 97504-8198
Phone (541) 282-2208

3524 Heathrow Way
Medford, OR 97504-4004
Phone (541) 646-3505

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO20779ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Valley Physicians CurrentSince Feb 1, 2000 Accepting new patients
Rogue Valley Physicians Family Medicine Current Accepting new patients
Rogue Valley Physicians PC Family Medicine CurrentSince Feb 1, 2000 Accepting new patients

Locations

615 S 2nd St
Central Point, OR 97502
Phone (541) 789-4004

2900 Doctors Park Dr
Medford, OR 97504
Phone (541) 282-2200

2900 Doctors Park Dr
Ste 250
Medford, OR 97504
Phone (541) 282-2208

3524 Heathrow Way
Medford, OR 97504
Phone (541) 646-3505

Interoperability endpoints

  • Direct secure messaging: cindy.konecne@direct.rvpdocs.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 6

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1427068519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DOCTORS PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048127",
            "telephone_number": "541-282-2200",
            "fax_number": "541-282-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 HEATHROW WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975042770",
            "telephone_number": "541-646-3505",
            "fax_number": "541-646-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONECNE",
        "first_name": "CINDY",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO20779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150528",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.