Individual provider Active NPI

Cary S Kaufman, MD

  • Surgical Oncology Physician
  • Bellingham, WA
National Provider Identifier
1841290947
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
MD00014269 Issued in WA
Practice address
2075 Barkley Blvd Ste 250
Bellingham, WA 98226-6614
Phone
(360) 671-9877
Fax
(360) 733-2882
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00014269 WA
Surgical Oncology Physician 2086X0206X MD00014269 WA Primary

Addresses

Primary practice location

2075 Barkley Blvd Ste 250
Bellingham, WA 98226-6614

Mailing address

2075 Barkley Blvd Ste 250
Bellingham, WA 98226-6614
Phone (360) 671-9877

Other identifiers 3

IdentifierTypeStateIssuer
50394OtherWADEPT OF LABOR INDUSTRIES
8923151OtherWACRIME VICTIMS
1087766MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100916001051 WA Practitioner - General Surgery 4284720145 Practice locations: Bellingham, WA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Geffen School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2075 Barkley Blvd
Suite 250
Bellingham, WA 98226-6614
Phone (360) 671-9877

Hospital & facility affiliations

  • Eden Home Health Home health agency, Bellingham, WA, CCN 507105

Merit-based Incentive Payment System (MIPS)

Final score
79.12 of 100Reported as group
Quality
81.91
Promoting interoperability
100
Improvement activities
40
Cost
40.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy114
Melanoma (skin cancer) excision76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00014269WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Spine Pain Specialists, P.S. CurrentSince Apr 17, 2020 Accepting new patients
Pacific Diabetes and Weight Loss Surgery PS Surgery Past Accepting new patients

Locations

2075 Barkley Blvd
Ste 250
Bellingham, WA 98226
Phone (360) 527-8111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1841290947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD STE 250",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266614",
            "telephone_number": "360-671-9877",
            "fax_number": "360-733-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD STE 250",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266614",
            "telephone_number": "360-671-9877",
            "fax_number": "360-733-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "CARY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00014269",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "WA",
            "license": "MD00014269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR INDUSTRIES",
            "identifier": "50394",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8923151",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1087766",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.