Individual provider Active NPI

Beth E Blumenstein, M.D.

  • Family Medicine Physician
  • La Pine, OR
National Provider Identifier
1497727150
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD24032 Issued in OR
Practice address
51600 Huntington Rd
La Pine, OR 97739-8887
Phone
(541) 536-3435
Fax
(541) 536-8047
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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 MD24032 OR Primary

Addresses

Primary practice location

51600 Huntington Rd
La Pine, OR 97739-8887

Mailing address

PO Box 3300
La Pine, OR 97739-3300
Phone (541) 536-3435

Other practice location 1

56881 Enterprise Dr
Sunriver, OR 97707-2120
Phone (541) 536-3435

Other identifiers 1

IdentifierTypeStateIssuer
286315MedicaidOR

Other names 1

  • Beth E Baslaw Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051230000309 OR Practitioner - Family Practice 9931121142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umpqua Community Health Center IncGroup PAC ID 0345233078, shared by 7 NPIs, 33 clinicians

Practice addresses (Care Compare)

150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone (541) 672-9596

20170 N Umpqua Hwy
Glide, OR 97443-9620
Phone (541) 496-3504

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Roseburg, OR, CCN 387311
  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umpqua Community Health Center, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Umpqua Community Health Center, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Cow Creek Band of Umpqua Tribe of Indians PastSince Aug 8, 2021 Accepting new patients

Locations

150 NE Kenneth Ford Dr
Roseburg, OR 97470

Interoperability endpoints

  • Direct secure messaging: bblumenstein243883@direct.ochin.org
  • Direct secure messaging: beth.blumenstein.1@17792.direct.athenahealth.com

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 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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1497727150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3300",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977393300",
            "telephone_number": "541-536-3435",
            "fax_number": "541-536-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977398887",
            "telephone_number": "541-536-3435",
            "fax_number": "541-536-8047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56881 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Sunriver",
            "state": "OR",
            "postal_code": "977072120",
            "country_code": "US",
            "telephone_number": "541-536-3435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUMENSTEIN",
        "first_name": "BETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD24032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286315",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "BASLAW",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Pine, OR

Sources for this page

Verify at the official NPI Registry.