Individual provider Active NPI

Catherine A Rojo, PA

  • Physician Assistant
  • Bend, OR
National Provider Identifier
1902989288
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00797 Issued in OR
Practice address
1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887
Phone
(541) 388-2333
Fax
(541) 388-0930
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X PA00797 OR
Medical-Surgical Clinical Nurse Specialist 364SM0705X PA503 ID
Physician Assistant 363A00000X PA00797 OR Primary

Addresses

Primary practice location

1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887

Mailing address

1303 NE Cushing Dr Ste 100
Bend, OR 97701-3887
Phone (541) 388-2333

Other practice location 1

1140 SW Simpson Ave
Ste 100
Bend, OR 97702
Phone (541) 388-2333

Other practice location 2

1315 NW 4th St
Redmond, OR 97756-1328
Phone (541) 388-2333

Other identifiers 3

IdentifierTypeStateIssuer
806960900MedicaidID
P00181887OtherIDRAILROAD MEDICARE
110286OtherIDBLUE CROSS OF IDAHO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728000589 OR Practitioner - Physician Assistant 7315917366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Oregon Health Sciences University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Desert Sports and Spine LLCGroup PAC ID 3971941154, 7 clinicians
Pain Management Consultants PCGroup PAC ID 8325011497, 2 clinicians

Practice addresses (Care Compare)

1140 SW Simpson Ave
Suite 100
Bend, OR 97702-3789
Phone (541) 388-2333

9155 SW Barnes Rd
Suite 934
Portland, OR 97225-6636
Phone (503) 292-7005

9735 SW Shady LN
Suite 100
Tigard, OR 97223-5481
Phone (503) 292-7005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00797ORMDPain Medicine (Physical Medicine & Rehabilitation) Physician
PA503IDMDMedical-Surgical Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Facility, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: catherine.rojo.1@30625.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1902989288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 NE CUSHING DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013887",
            "telephone_number": "541-388-2333",
            "fax_number": "541-388-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 NE CUSHING DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013887",
            "telephone_number": "541-388-2333",
            "fax_number": "541-388-0930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 SW Simpson Ave",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "97702",
            "country_code": "US",
            "telephone_number": "541-388-2333",
            "fax_number": "541-388-0930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 NW 4th St",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977561328",
            "country_code": "US",
            "telephone_number": "541-388-2333",
            "fax_number": "541-388-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROJO",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OR",
            "license": "PA00797",
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "ID",
            "license": "PA503",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806960900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00181887",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "110286",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.