NPIMap

Organization Active NPI

Cascade Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Redmond, OR
National Provider Identifier
1821649963
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CASCADE MEDICAL IMAGING LLC
Practice address
1523 NW Canal Blvd Ste 101
Redmond, OR 97756-1340
Phone
(541) 923-4202
Fax
(541) 382-2719
NPI assigned
Sep 20, 2019
Last updated
Mar 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CASCADE MEDICAL IMAGING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Kris Harvey
Title
Cmpe
Phone
(541) 598-3218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1523 NW Canal Blvd Ste 101
Redmond, OR 97756-1340

Mailing address

PO Box 6885
Bend, OR 97708-6885
Phone (541) 408-7691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171009003041 OR Part B Supplier - Clinic/Group Practice 9537140108 Receives reassigned benefits from 43 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bend, OR; Madras, OR; Prineville, OR; Redmond, OR

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cascade Medical Imaging3 organizations share this tax ID, including this one
Part of
Cascade Medical Imaging

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1531 NW Canal Blvd
Ste 100
Redmond, OR 97756
Phone (541) 923-4202

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1821649963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6885",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977086885",
            "telephone_number": "541-408-7691",
            "fax_number": "541-382-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 NW CANAL BLVD STE 101",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561340",
            "telephone_number": "541-923-4202",
            "fax_number": "541-382-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE MEDICAL IMAGING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASCADE MEDICAL IMAGING LLC",
        "enumeration_date": "2019-09-20",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "CMPE",
        "authorized_official_telephone_number": "541-598-3218"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.