NPIMap

Organization Active NPI

Central Oregon Radiology Assoc PC

  • Diagnostic Radiology Physician
  • Bend, OR
National Provider Identifier
1477590081
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CENTRAL OREGON RADIOLOGY ASSOC PC
Practice address
1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone
(541) 382-6633
Fax
(541) 383-4577
NPI assigned
Jun 1, 2006
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Kristine Anne Harvey
Title
Chief Pas Officer
Phone
(541) 598-3218

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
Radiology Clinic/Center 261QR0200X

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 OR, NY, CA, ID, UT, CO, NM7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20040407000799 OR Part B Supplier - Clinic/Group Practice 9335132091 Receives reassigned benefits from 43 practitioners
1 other NPI on this enrollment
Practice locations: Bend, OR
O20200207002070 NY Part B Supplier - Clinic/Group Practice 9335132091 Receives reassigned benefits from 1 practitioner
Practice locations: Manhasset, NY
O20200619000595 CA Part B Supplier - Clinic/Group Practice 9335132091 Receives reassigned benefits from 4 practitioners
Practice locations: La Jolla, CA; Santa Cruz, CA; San Diego, CA; Long Beach, CA; Sacramento, CA
O20211014002330 ID Part B Supplier - Clinic/Group Practice 9335132091 Practice locations: McCall, ID
O20231101003815 UT Part B Supplier - Clinic/Group Practice 9335132091 Receives reassigned benefits from 2 practitioners
Practice locations: Alpine, UT; Washington, UT
O20240416000482 CO Part B Supplier - Clinic/Group Practice 9335132091 Receives reassigned benefits from 2 practitioners
Practice locations: Carbondale, CO; Fort Collins, CO
O20240416001074 NM Part B Supplier - Clinic/Group Practice 9335132091 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D1076443Central Oregon Radiology Assoc PC1460 NE Medical Center Drive, Bend, OR 97701Certificate of waiverMar 25, 2028

National Provider Directory

National Provider Directory

Locations

1460 N E Medical Ctr
Bend, OR 97701

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1477590081",
    "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": "541-383-4577"
        },
        {
            "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": "541-383-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OREGON RADIOLOGY ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF PAS OFFICER",
        "authorized_official_telephone_number": "541-598-3218"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.