NPIMap

Individual provider Active NPI

Katherine M Hoda, MD

  • Gastroenterology Physician
  • Salem, OR
National Provider Identifier
1699862193
Registry record updated Feb 7, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD25532 Issued in OR
Practice address
875 Oak St SE Ste 3010
Salem, OR 97301-3978
Phone
(503) 399-7520
Fax
(503) 362-7344
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD25532 OR Primary

Addresses

Primary practice location

875 Oak St SE Ste 3010
Salem, OR 97301-3978

Mailing address

875 Oak St SE Ste 3010
Salem, OR 97301-3978
Phone (503) 399-7520

Other identifiers 1

IdentifierTypeStateIssuer
269675MedicaidOR

Other names 1

  • Katherine M Johnston Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061220000270 OR Practitioner - GastroenterologyPractitioner - Internal Medicine 0042219073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Oregon Health Sciences University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Gastroenterology Consultants PCGroup PAC ID 4183611361, 15 clinicians

Practice addresses (Care Compare)

875 Oak St SE
Suite 3010
Salem, OR 97301-3978
Phone (503) 399-7520

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
43.48 of 100Reported as group
Quality
48.4
Improvement activities
0
Cost
74.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy118
Upper gastrointestinal (GI) endoscopy for acid reflux110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25532ORMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Gastroenterology Consultants, PC Gastroenterology CurrentSince Oct 31, 2016 Accepting new patients
Salem Health Past Accepting new patients
Salem Endoscopy Center, LLC Past Accepting new patients
North Clark Medical Group LLC Past Accepting new patients

Locations

607 SE Jefferson St
Dallas, OR 97338
Phone (503) 399-7520

875 Oak St SE
Ste 3010
Salem, OR 97301
Phone (503) 399-7520

875 Oak St SE
Ste C3010
Salem, OR 97301
Phone (503) 399-7520

4747 Skyline Rd S
Salem, OR 97306
Phone (503) 399-7520

Interoperability endpoints

  • Direct secure messaging: khodamd1652@direct.ohsu.edu

Organizations & group practices 4

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 4

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1699862193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 3010",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013978",
            "telephone_number": "503-399-7520",
            "fax_number": "503-362-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 3010",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013978",
            "telephone_number": "503-399-7520",
            "fax_number": "503-362-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODA",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD25532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269675",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "JOHNSTON",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.