Active NPI
Kaiser Foundation Health Plan of the Northwest
- General Practice Physician
- Portland, OR
National Provider Identifier
1982959565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
- Practice address
- 500 NE Multnomah St
Portland, OR 97232-2023 - Phone
- (503) 813-2440
- Fax
- (503) 813-2507
- NPI assigned
- Jul 19, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Stephen Shawn Barton
- Title
- Executive Director, Revenue Cycle
- Phone
- (503) 813-2440
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
O20040220000099
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
O20040220000099
-
- Skilled Nursing Facility
- Vancouver, WA
- NPI 1609171081
O20040220000099
Practitioners 542
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Corvallis, OR
- NPI 1083811954
Family Medicine
-
- Audiologist
- Portland, OR
- NPI 1912949694
-
- Surgical Physician Assistant
- Salem, OR
- NPI 1245564491
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1760642565
Internal Medicine
-
- Psychiatry Physician
- Sherwood, OR
- NPI 1215980099
-
- Hematology & Oncology Physician
- Portland, OR
- NPI 1679772743
-
- Mental Health Counselor
- Portland, OR
- NPI 1427431170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040220000099 | WA | Part B Supplier - Clinic/Group Practice | 5799688230 |
Receives reassigned benefits from 2,668 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Vancouver, WA; Longview, WA; Battle Ground, WA |
National Provider Directory
National Provider DirectoryLocations
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
Specialties & licenses 15
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | |||
| Registered Dietitian | 133V00000X | |||
| Anesthesiology Physician | 207L00000X | |||
| Dermatology Physician | 207N00000X | |||
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | |||
| Pediatrics Physician | 208000000X | |||
| Surgery Physician | 208600000X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
NPPES NPI RegistryPrimary practice location
500 NE Multnomah St
Portland, OR 97232-2023
Mailing address
500 NE Multnomah St
Portland, OR 97232-2023
Phone (503) 813-2440
Other names 1
NPPES NPI Registry- KFHP Longview/Kelso Area
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2021.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622505600000",
"number": "1982959565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322023",
"telephone_number": "503-813-2440",
"fax_number": "503-813-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322023",
"telephone_number": "503-813-2440",
"fax_number": "503-813-2507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-19",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A",
"authorized_official_last_name": "BARTON",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "SHAWN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR, REVENUE CYCLE",
"authorized_official_telephone_number": "503-813-2440"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "500 NE Multnomah St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972322023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "KFHP Longview/Kelso Area",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "KFHP Longview/Kelso Area",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portland, OR
- Kaiser Foundation Health Plan of the Northwest
- Kaiser Foundation Health Plan of the Northwest
- Kaiser Foundation Health Plan of the Northwest
- Kaiser Foundation Health Plan of the Northwest
- Kaiser Foundation Health Plan of the Northwest
- Kaiser Foundation Health Plan of the Northwest
- Kaiser Foundation Health Plan of the NW
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
- Kaiser Foundation Hospitals
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.