Individual provider Active NPI

Karin B Kuhl, MD

  • Internal Medicine Physician
  • Ashland, OR
National Provider Identifier
1689722795
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD27315 Issued in OR
Practice address
1661 Highway 99 N
BLDG a, Ste 100
Ashland, OR 97520-8900
Phone
(541) 732-8300
Fax
(541) 732-8301
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD27315 OR Primary

Addresses

Primary practice location

1661 Highway 99 N
BLDG a, Ste 100
Ashland, OR 97520-8900

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (541) 732-8300

Other identifiers 1

IdentifierTypeStateIssuer
279098MedicaidOR

Other names 1

  • Karin Erica Boutacoff Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkuhl367170@oc.providencedirect.org

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
I20070913000463 OR Practitioner - Internal Medicine 7911091558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services OregonGroup PAC ID 5294623245, 166 clinicians

Practice addresses (Care Compare)

940 Royal Ave
Medford, OR 97504-6194

Hospital & facility affiliations

  • Accentcare Home Health of Rogue Valley, LLC Home health agency, Medford, OR, CCN 387098
  • Providence Medford Home Care Home health agency, Medford, OR, CCN 387016
  • Riverside Home Health Care Home health agency, Grants Pass, OR, CCN 387143
  • Assured Home Health Home health agency, Grants Pass, OR, CCN 387076
  • Providence Medford Hospice Hospice, Medford, OR, CCN 381506
  • Providence Medford Medical Center Hospital, Medford, OR, CCN 380075
  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Fairchild Medical Center Hospital, Yreka, CA, CCN 051316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27315ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Internal Medicine Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 1, 2014 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 1, 2014 Accepting new patients

Locations

1661 Highway 99 N
Ste 100
Ashland, OR 97520
Phone (541) 732-8300

940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460

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 10

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1689722795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "541-732-8300",
            "fax_number": "541-732-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 HIGHWAY 99 N",
            "address_2": "BLDG A, STE 100",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975208900",
            "telephone_number": "541-732-8300",
            "fax_number": "541-732-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHL",
        "first_name": "KARIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD27315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279098",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkuhl367170@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1661 Highway 99 N",
            "address_2": "Bldg A, Ste 100",
            "city": "Ashland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975208900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KARIN",
            "last_name": "BOUTACOFF",
            "middle_name": "ERICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.