Individual provider Active NPI

Roberto Zevallos, MD

  • Family Medicine Physician
  • Klamath Falls, OR
National Provider Identifier
1467194787
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD227180 Issued in OR
Practice address
2821 Daggett Ave Ste 200
Klamath Falls, OR 97601-1130
Phone
(541) 274-8400
NPI assigned
Apr 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD227180 OR Primary

Addresses

Primary practice location

2821 Daggett Ave Ste 200
Klamath Falls, OR 97601-1130

Mailing address

2865 Daggett Ave FL 4
Klamath Falls, OR 97601-1106
Phone (541) 274-6556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 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
I20230419000022 WA Practitioner - Family Practice 6800261140 Reassigns benefits to 2 organizations
I20260122001520 OR Practitioner - Family Practice 6800261140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

2821 Daggett Ave
Suite 200
Klamath Falls, OR 97601-1130
Phone (541) 274-8400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD227180ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit Multi-Specialty Current Accepting new patients
Public Hospital Dist No 1 Skagit Multi-Specialty CurrentSince Jul 8, 2024 Accepting new patients
Sea Mar Community Health Centers Multi-Specialty CurrentSince Dec 10, 2022 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Dec 13, 2025 Accepting new patients
Sky Lakes Medical Center Inc Multi-Specialty CurrentSince Dec 13, 2025 Accepting new patients
Sea Mar Community Health Centers Multi-Specialty Current Accepting new patients
Sea Mar Community Health Centers Multi-Specialty CurrentSince Dec 10, 2022 Accepting new patients

Locations

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

2865 Daggett Ave
Fl 4
Klamath Falls, OR 97601

2821 Daggett Ave
Ste 200
Klamath Falls, OR 97601
Phone (541) 274-8400

4111 Alderwood Mall Blvd
Lynnwood, WA 98036
Phone (425) 616-4100

9710 State Ave
Marysville, WA 98270
Phone (360) 653-1742

17707 W Main St
Fl 1
Monroe, WA 98272
Phone (360) 282-3885

819 S 13th St
Mount Vernon, WA 98274
Phone (360) 336-9757

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

Interoperability endpoints

  • Direct secure messaging: rzevallos665229@direct.multicare.org

Organizations & group practices 7

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1467194787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 DAGGETT AVE FL 4",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "541-274-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 DAGGETT AVE STE 200",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011130",
            "telephone_number": "541-274-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEVALLOS",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD227180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.