Individual provider Active NPI

Steven Delashmutt, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Baker City, OR
National Provider Identifier
1821030552
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD12442 Issued in OR
Practice address
3640 H St
Baker City, OR 97814-1278
Phone
(541) 523-6125
NPI assigned
Jun 10, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD12442 OR Primary

Addresses

Primary practice location

3640 H St
Baker City, OR 97814-1278

Mailing address

3640 H St
Baker City, OR 97814-1278
Phone (541) 523-6125

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
I20070801000194 OR Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Emergency Medicine 5991896227 Practice locations: Baker City, OR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD12442ORMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Elizabeth Health Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sdelashmutt1563884@direct.trinity-health.org

Organizations & group practices 1

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1821030552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 H ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141278",
            "telephone_number": "541-523-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 H ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141278",
            "telephone_number": "541-523-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELASHMUTT",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OR",
            "license": "MD12442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

Verify at the official NPI Registry.