Individual provider Active NPI

George W Middlekauff, MD

  • Psychiatry Physician
  • Roseburg, OR
National Provider Identifier
1598797664
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD13237 Issued in OR
Practice address
2700 NW Stewart Parkway
Roseburg, OR 97471
Phone
(541) 677-2452
Fax
(541) 677-2294
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD13237 OR Primary

Addresses

Primary practice location

2700 NW Stewart Parkway
Roseburg, OR 97471

Mailing address

201 NW Medical Loop, Ste 190
Roseburg, OR 97471
Phone (541) 677-2452

Other identifiers 1

IdentifierTypeStateIssuer
267286MedicaidOR

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
I20080211000545 OR Practitioner - Psychiatry 6901989151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Medical Group IncGroup PAC ID 6103982962, 60 clinicians

Practice addresses (Care Compare)

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 677-2452

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.4 of 100Reported as group
Quality
67.01
Promoting interoperability
99
Improvement activities
40
Cost
78.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13237ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt CurrentSince Jul 18, 2018 Accepting new patients
Centennial Medical Group Inc. CurrentSince Jun 11, 2023 Accepting new patients
Adapt CurrentSince Jul 18, 2018 Accepting new patients
Adapt Current Accepting new patients
Centennial Medical Group Inc. CurrentSince Dec 7, 2019 Accepting new patients

Locations

201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319

2700 NW Stewart Pkwy
Ste B
Roseburg, OR 97471

341 NW Medical Loop
Ste 120
Roseburg, OR 97471
Phone (541) 440-6388

2510 NW Edenbower Blvd
Ste 152
Roseburg, OR 97471
Phone (541) 440-5320

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

548 SE Jackson St
Roseburg, OR 97470
Phone (541) 492-0241

621 W Madrone St
Roseburg, OR 97470
Phone (541) 440-3571

Interoperability endpoints

  • Direct secure messaging: gmiddlekauff324611@direct.ochin.org

Organizations & group practices 5

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 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1598797664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW MEDICAL LOOP, STE 190",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-677-2452",
            "fax_number": "541-677-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NW STEWART PARKWAY",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "97471",
            "telephone_number": "541-677-2452",
            "fax_number": "541-677-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEKAUFF",
        "first_name": "GEORGE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD13237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267286",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.