Individual provider Active NPI

Kathryn M Doster, DO

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1891358644
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2022-0088 Issued in NM
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

Updated by the provider on Oct 29, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221006001642 NM Practitioner - Family Practice 6204212772 Reassigns benefits to 1 organization

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
La Familia Medical CenterGroup PAC ID 4082601026, 30 clinicians

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 Hospital, Santa Fe, NM, CCN 320002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2022-0088NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Familia Medical Center CurrentSince Sep 26, 2022 Accepting new patients
La Familia Medical Center CurrentSince Sep 26, 2022 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.

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": "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

Verify at the official NPI Registry.