MID-COLUMBIA MEDICAL CENTER
NPI 1164735478
Urology in The Dalles, OR

Active since July 16, 2010
1805 E 19TH ST, THE DALLES, OR 97058(541) 296-2201(541) 296-1237 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 16, 2023, Mar 17, 2018, Oct 30, 2017 and 2 more (5 updates tracked since 2016).

About Mid-columbia Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-COLUMBIA MEDICAL CENTER (NPI 1164735478), doing business as Adventist Health Columbia Gorge, is a healthcare organization registered as an urology in The Dalles, Oregon and active in the NPI registry since July 2010. The organization lists Kyle King, Service Area President, as its authorized official.

NPPES Registry Identity

NPI1164735478
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameMID-COLUMBIA MEDICAL CENTER
Location Address1805 E 19TH STThe Dalles, OR 97058-0000
Mailing AddressPo Box 1520The Dalles, OR 97058-0000 · (541) 296-2201 · Fax (541) 296-1237
Fax(541) 296-1237
Organization SubpartNo
Authorized OfficialKyle KingService Area President · (503) 261-4405
Enumeration DateJuly 16, 2010
Last NPPES UpdateApril 14, 20255 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1164735478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1805 E 19TH ST, The Dalles, OR 97058

Other Names 2

Doing Business AsAdventist Health Columbia Gorge
Doing Business AsGorge Urology

Other Identifiers 2

Medicaid500630716OR
Medicaid2008645WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid-columbia Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

195

Medicare enrollment records show 195 clinicians reassign Medicare billing to Mid-Columbia Medical Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 43 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Nurse Practitioner33
Emergency Medicine27
Family Practice15
Obstetrics/Gynecology14
Cardiovascular Disease (Cardiology)11
General Surgery11
Pediatric Medicine11
Internal Medicine9
22 other specialties64

Nearest to this location (20)

See all 195
Urology
NPI 1992879514
1805 E 19TH ST
The Dalles, OR 97058
(541) 296-2201
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1336274265
1805 E 19TH ST
The Dalles, OR 97058
(541) 296-2201
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1073870689
1815 E 19TH ST SUITE 1
The Dalles, OR 97058
(541) 298-8676
Same address
Otolaryngology
NPI 1932127412
1815 E 19TH ST STE 1
The Dalles, OR 97058
(541) 298-5563
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497037675
1825 E 19TH ST
The Dalles, OR 97058
(541) 506-6940
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1881682573
1800 E 19TH ST
The Dalles, OR 97058
(541) 296-7204
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1043241144
1825 E. 19TH ST
The Dalles, OR 97058
(541) 506-6940
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1033190574
1810 E 19TH ST SUITE 209
The Dalles, OR 97058
(541) 296-5657
✔ PECOS0.1 mi
General Surgery
NPI 1609187681
1810 E 19TH ST SUITE 225
The Dalles, OR 97058
(541) 296-6101
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1689690398
1810 E 19TH ST STE 225
The Dalles, OR 97058
(541) 296-6101
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1508808890
1810 E 19TH ST SUITE 209
The Dalles, OR 97058
(541) 296-5657
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Nurse Midwife (CNM)
NPI 1124346994
1810 E 19TH ST SUITE 209
The Dalles, OR 97058
(541) 296-5657
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1013985084
1700 E 19TH ST
The Dalles, OR 97058
(541) 276-7760
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1750364451
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1770559163
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1598105454
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1669416723
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1922989425
1700 E 19TH ST
The Dalles, OR 97058
(541) 705-7681
✔ PECOS0.1 mi
Pathology
NPI 1235353863
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1316929953
1700 E 19TH ST
The Dalles, OR 97058
(541) 296-1111
✔ PECOS✔ Accepts Medicare0.1 mi
See all 195 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-Columbia Medical Center's NPI number?

The NPI number for Mid-Columbia Medical Center is 1164735478. It was assigned to this organization in the NPPES registry on July 16, 2010. The provider is doing business as Adventist Health Columbia Gorge and Gorge Urology.

Where is Mid-Columbia Medical Center located?

Mid-Columbia Medical Center is located at 1805 E 19th St, The Dalles, OR 97058. The listed phone number is (541) 296-2201.

What is Mid-Columbia Medical Center's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Mid-Columbia Medical Center enrolled in Medicare?

Yes. Mid-Columbia Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-Columbia Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 195 clinicians in 30 Medicare specialties reassign their Medicare billing to Mid-Columbia Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (33), Emergency Medicine (27) and Family Practice (15). Of these, 5 practice at this address and 43 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mid-Columbia Medical Center accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Mid-Columbia Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid-Columbia Medical Center was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.