Kathryn Marie Kocurek, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD24297 Issued in OR

Practice address

2160 NE Williamson CT
Bend, OR 97701-3760

Phone

(541) 389-1118

Fax

(541) 389-2662

NPI assigned

Dec 20, 2006

Last updated

Dec 27, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of California, San Francisco School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fall Creek Internal Medicine, LLPGroup PAC ID 7810980497, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Charles Home Health Services Home health agency, Bend, OR, CCN 387026
• Partners in Care Hospice, Bend, OR, CCN 381515
• St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/FCIM/api/FHIR/R4
• Direct secure messaging: kkocurek24615@coipa.gardenplot.direct-ci.com

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.

• Fall Creek Internal Medicine, LLP

  • Internal Medicine Physician
  • Bend, OR
  • NPI 1518005222
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cascade Healthcare Community Inc

  dba NW High Desert Sleep Center Bend

  • Sleep Disorder Diagnostic Clinic/Center
  • Bend, OR
  • NPI 1164675963

  Hospital

  Care Compare affiliation
• Partners in Care, Inc

  dba Partners In Care

  • Community Based Hospice Care Agency
  • Bend, OR
  • NPI 1104936400
  Care Compare affiliation
• St. Charles Health System, Inc.

  dba St. Charles Home Health Services

  • Home Health Agency
  • Bend, OR
  • NPI 1144215542
  Care Compare affiliation
• St. Charles Health System, Inc.

  dba St. Charles Home Health

  • Home Health Agency
  • Madras, OR
  • NPI 1225226004
  Care Compare affiliation
• St. Charles Health System, Inc.

  dba St. Charles Bend

  • General Acute Care Hospital
  • Bend, OR
  • NPI 1982621447
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1790849131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 NE WILLIAMSON CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013760",
            "telephone_number": "541-389-1118",
            "fax_number": "541-389-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 NE WILLIAMSON CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013760",
            "telephone_number": "541-389-1118",
            "fax_number": "541-389-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCUREK",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD24297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226596",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Murphy Knott
• Michael E Knower, MD
• Amber Patricia Knudsen, LCSW
• Heidi Patricia Knutson, RN
• Abigail Kochersberger
• Thomas Frederick Koehler, MD
• Patricia Marie Koenig, L.P.N.
• Jason Larry Koerner, MD
• Erica Kokkeler, CFNC
• Susan Kolb, MS, LPC

• Internal Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.