Individual provider Active NPI

Karen Ann Kuryla, M.D.

  • Family Medicine Physician
  • Canby, OR
National Provider Identifier
1801973664
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD16388 Issued in OR
Practice address
178 SW 2ND Ave
Canby, OR 97013-4152
Phone
(503) 416-4547
NPI assigned
Nov 1, 2006
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 176017 NY
Family Medicine Physician 207Q00000X MD00029171 WA
Family Medicine Physician 207Q00000X 19166 AZ
Family Medicine Physician 207Q00000X 0101053446 VA
Family Medicine Physician 207Q00000X A46302 CA
Family Medicine Physician 207Q00000X 032598 GA
Family Medicine Physician 207Q00000X MD16388 OR Primary

Addresses

Primary practice location

178 SW 2ND Ave
Canby, OR 97013-4152

Mailing address

7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302

Other practice location 1

531 N Highway 101 Ste A
Depoe Bay, OR 97341-9572
Phone (541) 765-3265

Other identifiers 1

IdentifierTypeStateIssuer
041827MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkurylaagency253641@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070813000136 WA Practitioner - Family Practice 3274540539 Reassigns benefits to 1 organization
I20090511000224 OR Practitioner - Family Practice 3274540539 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19166AZMDFamily Medicine Physician
A46302CAMDFamily Medicine Physician
032598GAMDFamily Medicine Physician
176017NYMDFamily Medicine Physician
MD16388ORMDFamily Medicine Physician
0101053446VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Lutheran Charities Current Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Jan 3, 2023 Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Jan 3, 2023 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince May 5, 2019 Accepting new patients
Public Hospital District No 1 of Mason County Current Accepting new patients
Columbia Lutheran Charities Family Medicine Past Accepting new patients
Integra Imaging, PS Past Accepting new patients
Pacmed Clinics Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

531 N Highway 101
#A
Depoe Bay, OR 97341
Phone (541) 765-3265

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

1639 SE Ensign Ln
Ste B103
Warrenton, OR 97146
Phone (503) 338-4500

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

939 Mountain View Dr
Ste 100
Shelton, WA 98584
Phone (360) 426-2653

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1801973664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 SW 2ND AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970134152",
            "telephone_number": "503-416-4547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 N Highway 101 Ste A",
            "address_purpose": "LOCATION",
            "city": "Depoe Bay",
            "state": "OR",
            "postal_code": "973419572",
            "country_code": "US",
            "telephone_number": "541-765-3265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURYLA",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "176017",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00029171",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "19166",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101053446",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A46302",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "032598",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD16388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041827",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkurylaagency253641@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "531 N Highway 101 Ste A",
            "city": "Depoe Bay",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973419572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

Verify at the official NPI Registry.