Active NPI
Corina Gabriela Rachita, MD
- Internal Medicine Physician
- Roseburg, OR
National Provider Identifier
1851377931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60107069
- Practice address
- 2395 NW Stewart Pkwy
Roseburg, OR 97470-5653 - Phone
- (541) 957-5750
- Fax
- (541) 957-5766
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60107069 | WA | Primary |
Addresses
Primary practice location
2395 NW Stewart Pkwy
Roseburg, OR 97470-5653
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (360) 493-4069
Other practice location 1
413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 486-6420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227244 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crachita99338@wm.providencedirect.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 493-4083
525 Lilly Rd NE
Olympia, WA 98506-5101
Hospital & facility affiliations
- Providence St Peter Hospital
- Providence Centralia Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Past | Accepting new patients |
Locations
413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480
525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550
Interoperability endpoints
- crachita99338@wm.providencedirect.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
Internal Medicine
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Olympia, WA
- NPI 1023550050
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Centralia, WA
- NPI 1376624981
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1851377931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "360-493-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2395 NW STEWART PKWY",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974705653",
"telephone_number": "541-957-5750",
"fax_number": "541-957-5766"
}
],
"practiceLocations": [
{
"address_1": "413 Lilly Rd NE",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065133",
"country_code": "US",
"telephone_number": "360-486-6420",
"fax_number": "360-486-6436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RACHITA",
"first_name": "CORINA",
"middle_name": "GABRIELA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60107069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227244",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "crachita99338@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "413 Lilly Rd NE",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985065133",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.