KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST – NPI #1568130854
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is a provider located in PORTLAND, OR. NPPES has assigned the NPI number 1568130854 to KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST on September 01, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is also known by the name SAN RAFAEL KPOJ. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 5 years ago on Oct 01, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST below.

NPI Profile for
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

NPI Number
1568130854
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Other Name: SAN RAFAEL KPOJ
Primary location
1620 NE 122ND AVE
PORTLAND, OR 97230-1913
Phone: (800) 813-2000 Fax:
Mailing address
500 NE MULTNOMAH ST
PORTLAND, OR 97232-2023
Phone: (800) 813-2000 Fax:
Organization Subpart
Yes - KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST is subpart of another organization.
Authorized Official
STEPHEN BARTON
EXECUTIVE DIRECTOR, REVENUE CYCLE
Phone: (503) 813-2440
Updated
Certification Date
Sep 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
261QX0100X
- Clinic/Center / Occupational Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggateways
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
N
Endpoint Location
1618 NE 122ND AVE,
PORTLAND, OR 77025-1669