Beata Anasz-Kopecka, M.D.

Individual provider Active NPI Internal Medicine Physician · McMinnville, OR

NPI 1477558807 · NPPES record last updated Feb 1, 2022

Key facts

NPI
1477558807
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
MD25356 (OR)
Practice address
375 SE Norton LN
Ste a
McMinnville, OR 97128-8484
Phone
(503) 472-9002
Fax
(503) 474-0157
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kaiser Foundation Health Plan of the Northwest (1,805 clinicians)

Practice addresses (Care Compare)

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OR, WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050126000653 OR Practitioner - Internal Medicine 6800873811 Reassigns benefits to 1 organization
I20231207001713 WA Practitioner - Internal Medicine 6800873811 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Internal Medicine Current
since Oct 7, 2023
Accepting new patients
Kaiser Foundation Health Plan of the Northwest Internal Medicine Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest Internal Medicine Current
since Apr 9, 2012
Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current
since Apr 9, 2012
Accepting new patients
Health Care Partners Systems, LLC Past Accepting new patients
Willamette Valley Clinics LLC Internal Medicine Past Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Ofc
Salem, OR 97305

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD25356 OR Yes

Addresses

Primary practice location

375 SE Norton LN
Ste a
McMinnville, OR 97128-8484

Mailing address

375 SE Norton LN
Ste a
McMinnville, OR 97128-8484
Phone (503) 472-9002

Other identifiers

IdentifierTypeStateIssuer
277797MedicaidOR

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE) Northwest Permanente PC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 1, 2022.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1477558807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 SE NORTON LN",
            "address_2": "STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288484",
            "telephone_number": "503-472-9002",
            "fax_number": "503-474-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 SE NORTON LN",
            "address_2": "STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288484",
            "telephone_number": "503-472-9002",
            "fax_number": "503-474-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASZ-KOPECKA",
        "first_name": "BEATA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD25356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277797",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Northwest Permanente PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2700 SE Stratus Ave",
            "city": "McMinnville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971286255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McMinnville, OR

All providers in McMinnville, OR · Internal Medicine Physician in Oregon

Sources for this page

Verify at the official NPI Registry.