Individual provider Active NPI

Paul C Vitt, DO

  • Family Medicine Physician
  • Coos Bay, OR
National Provider Identifier
1831144674
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO170327 Issued in OR
Practice address
150 S Wall St
Coos Bay, OR 97420-3233
Phone
(541) 435-7200
Fax
(541) 888-0025
NPI assigned
May 23, 2006
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO170327 OR Primary

Addresses

Primary practice location

150 S Wall St
Coos Bay, OR 97420-3233

Mailing address

150 S Wall St
Coos Bay, OR 97420-3233
Phone (541) 435-7200

Other identifiers 1

IdentifierTypeStateIssuer
500672642MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20130530000543 TX Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6901875608 Reassigns benefits to 1 organization
I20150716002700 OR Practitioner - Family Practice 6901875608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 S Wall St
Coos Bay, OR 97420-3233
Phone (541) 435-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO170327ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bandon Community Health Ctr CurrentSince Sep 14, 2023 Accepting new patients
Bandon Community Health Center Current Accepting new patients
Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians CurrentSince May 1, 2024 Accepting new patients
Confederated Tribes of Grand Ronde Community of Oregon Dba GR Health & Past Accepting new patients

Locations

1010 1st St SE
Ste 110
Bandon, OR 97411

1245 Fulton Ave
Coos Bay, OR 97420
Phone (541) 888-6433

150 S Wall St
Coos Bay, OR 97420
Phone (541) 435-7200

Interoperability endpoints

  • Direct secure messaging: paul.vitt.p101@direct.wvp.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1831144674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S WALL ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974203233",
            "telephone_number": "541-435-7200",
            "fax_number": "541-888-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S WALL ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974203233",
            "telephone_number": "541-435-7200",
            "fax_number": "541-888-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITT",
        "first_name": "PAUL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO170327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500672642",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

Verify at the official NPI Registry.