Active NPI
Kathryn M Doster, DO
- Family Medicine Physician
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO2022-0088
- Practice address
- 2145 Caja del Oro Grant Rd
Santa Fe, NM 87507-3279 - Phone
- (505) 982-4425
- Fax
- (505) 982-1263
- NPI assigned
- Apr 17, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO2022-0088 | NM | Primary |
Addresses
Primary practice location
2145 Caja del Oro Grant Rd
Santa Fe, NM 87507-3279
Mailing address
2145 Caja del Oro Grant Rd
Santa Fe, NM 87507-3279
Phone (505) 982-4425
Other practice location 1
1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- 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
- Family Practice
- Education
- Rocky Vista University College of Osteopathic Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425
Hospital & facility affiliations
- Christus St Vincent Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2022-0088 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Familia Medical Center | Current | Accepting new patients | |
| La Familia Medical Center | Current | Accepting new patients | |
| La Familia Medical Center | Family Medicine | Past | Accepting new patients |
| St Vincent Hospital | Past | Accepting new patients |
Locations
2145 Caja del Oro Grant Rd
Santa Fe, NM 87507
Phone (505) 438-3195
1035 Alto St
Santa Fe, NM 87501
Phone (505) 982-4425
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.
-
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1811059322
-
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1740717743
-
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1346251782
Family Medicine
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1891358644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 CAJA DEL ORO GRANT RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875073279",
"telephone_number": "505-982-4425",
"fax_number": "505-982-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 CAJA DEL ORO GRANT RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875073279",
"telephone_number": "505-982-4425",
"fax_number": "505-982-1263"
}
],
"practiceLocations": [
{
"address_1": "1035 Alto St",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875012406",
"country_code": "US",
"telephone_number": "505-982-4425",
"fax_number": "505-982-1263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOSTER",
"first_name": "KATHRYN",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-17",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "DO2022-0088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.