NPIMap

Individual provider Active NPI

Anne C Killingbeck, M.D.

  • Internal Medicine Physician
  • Redmond, OR
National Provider Identifier
1740471648
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD152262 Issued in OR
Practice address
1555 SW Reindeer Ave
Redmond, OR 97756-9449
Phone
(541) 548-4088
Fax
(541) 548-3732
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 MD152262 OR Primary

Addresses

Primary practice location

1555 SW Reindeer Ave
Redmond, OR 97756-9449

Mailing address

1555 SW Reindeer Ave
Redmond, OR 97756-9449
Phone (541) 548-4088

Other practice location 1

415 First St
Fossil, OR 97830-8292
Phone (541) 548-4088

Other identifiers 1

IdentifierTypeStateIssuer
MD1552262OtherORSTATE LICENSE

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
I20101214000788 OR Practitioner - Internal Medicine 8224225404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Peaks Health Care, LLCGroup PAC ID 9739460148, 3 clinicians

Practice addresses (Care Compare)

1555 SW Reindeer Ave
Redmond, OR 97756-9449
Phone (541) 548-4088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD152262ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asher Community Health Center Current Accepting new patients
Asher Community Health Center CurrentSince Dec 15, 2024 Accepting new patients
Desert Peaks Health Care, LLC Internal Medicine CurrentSince Jan 16, 2017 Accepting new patients
Asher Community Health Center CurrentSince Dec 15, 2024 Accepting new patients

Locations

1555 SW Reindeer Ave
Redmond, OR 97756
Phone (541) 548-4088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14996/brand/1/csg/1/fhir/r4
  • Direct secure messaging: anne.killingbeck.1@14996.direct.athenahealth.com

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 8

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1740471648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SW REINDEER AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569449",
            "telephone_number": "541-548-4088",
            "fax_number": "541-548-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SW REINDEER AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569449",
            "telephone_number": "541-548-4088",
            "fax_number": "541-548-3732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 First St",
            "address_purpose": "LOCATION",
            "city": "Fossil",
            "state": "OR",
            "postal_code": "978308292",
            "country_code": "US",
            "telephone_number": "541-548-4088",
            "fax_number": "541-548-3732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLINGBECK",
        "first_name": "ANNE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD152262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD1552262",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.