Active NPI
Patrick Theodore Code, DPM
- Podiatrist
- Medford, OR
National Provider Identifier
1902951486
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Mar 18, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DP002200
- Practice address
- 2655 Siskiyou Blvd
Medford, OR 97504-8125 - Phone
- (541) 773-3338
- Fax
- (541) 772-9526
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DP002200 | OR | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | DP002200 | OR | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DP002200 | OR |
Addresses
Primary practice location
2655 Siskiyou Blvd
Medford, OR 97504-8125
Mailing address
2655 Siskiyou Blvd
Medford, OR 97504-8125
Phone (541) 773-3338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034947 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP002200 | OR | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902951486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 SISKIYOU BLVD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048125",
"telephone_number": "541-773-3338",
"fax_number": "541-772-9526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 SISKIYOU BLVD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048125",
"telephone_number": "541-773-3338",
"fax_number": "541-772-9526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODE",
"first_name": "PATRICK",
"middle_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OR",
"license": "DP002200",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "OR",
"license": "DP002200",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OR",
"license": "DP002200",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034947",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.