Active NPI
Susan M Kauffman, M.D.
- Nephrology Physician
- Milwaukie, OR
National Provider Identifier
1679665327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- OR MD13609
- Practice address
- 6902 SE Lake Rd
Ste 100
Milwaukie, OR 97267-2148 - Phone
- (503) 786-1600
- Fax
- (503) 786-1165
- NPI assigned
- Sep 29, 2006
- Last updated
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | WA MD00034567 | WA | |
| Nephrology Physician | 207RN0300X | OR MD13609 | OR | Primary |
Addresses
Primary practice location
6902 SE Lake Rd
Ste 100
Milwaukie, OR 97267-2148
Mailing address
7622 S Hood Ave
Portland, OR 97219-2934
Phone (503) 245-7477
Electronic endpoints 1
| 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 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR MD13609 | OR | MD | Nephrology Physician |
| WA MD00034567 | WA | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1679665327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7622 S HOOD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972192934",
"telephone_number": "503-245-7477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6902 SE LAKE RD",
"address_2": "STE 100",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972672148",
"telephone_number": "503-786-1600",
"fax_number": "503-786-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFFMAN",
"first_name": "SUSAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WA",
"license": "WA MD00034567",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OR",
"license": "OR MD13609",
"primary": true
}
],
"identifiers": [],
"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": "500 NE Multnomah St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972322023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.