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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | 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 | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Internal Medicine | Current |
Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277797 | Medicaid | OR |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
{
"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
- Karineh Anna Allen
- McKaylah Allen
- Alliance Healthcare Services Inc
- Kyla Alvarenga
- Chad Anthony Amodeo
- Whitney J Anderson Gonzalez
- Duncan Anderson
- Kristina Renee Anderson
- Lily Anderson
- Marcella M Anderson
All providers in McMinnville, OR · Internal Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.