Individual provider Active NPI

Kathryn Ann Rizzo, D.O., PHD

  • Anatomic Pathology Physician
  • Spokane Valley, WA
National Provider Identifier
1609048412
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
DO.OP.61596227 Issued in WA
Practice address
13103 E Mansfield Ave
Spokane Valley, WA 99216
Phone
(509) 892-2700
NPI assigned
Apr 1, 2008
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 0102203576 VA
Anatomic Pathology Physician 207ZP0101X DO.OP.61596227 WA Primary

Addresses

Primary practice location

13103 E Mansfield Ave
Spokane Valley, WA 99216

Mailing address

PO Box 3405
Spokane, WA 99220-3405
Phone (509) 892-2700

Other practice location 1

1250 E Marshall St
Department of Pathology
Richmond, VA 23298-5051
Phone (804) 828-7284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150722005251 NC Practitioner - Pathology 0345328126
I20170222001618 GA Practitioner - Pathology 0345328126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1000

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 882-1411

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 322-5155

2000 Dan Proctor Dr
Saint Marys, GA 31558-3810
Phone (912) 576-6200

203 Indigo Dr
Brunswick, GA 31525-6865
Phone 91226126691205

2122 Manchester Expy
Columbus, GA 31904-6878
Phone (706) 596-4000

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-7000

459 Ga Hwy 119 S
Springfield, GA 31329-3021
Phone 91226126691205

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
73.29 of 100Reported as group
Quality
68.58
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DO.OP.61596227WAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Pathology Associates PC CurrentSince Feb 1, 2017 Accepting new patients
Southeastern Pathology Associates PC CurrentSince Feb 1, 2017 Accepting new patients

Locations

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

3215 Shrine Rd
Ste 2
Brunswick, GA 31520
Phone (912) 262-0042

616 19th St
Columbus, GA 31901
Phone (706) 494-4262

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

710 Center St
Ste 101
Columbus, GA 31901

898 College St
Monticello, GA 31064
Phone (706) 468-0988

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

2810 N Oak St
Valdosta, GA 31602
Phone (229) 259-0019

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1609048412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3405",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203405",
            "telephone_number": "509-892-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13103 E MANSFIELD AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-892-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_2": "Department of Pathology",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-828-7284",
            "fax_number": "804-828-9749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "D.O., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "VA",
            "license": "0102203576",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "WA",
            "license": "DO.OP.61596227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.