PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1285185942
Pathology - Clinical Pathology in Medford, OR

Q: What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology, with taxonomy code 207ZC0006X.

Active since October 18, 2016

1111 CRATER LAKE AVE, MEDFORD, OR 97504(541) 732-5000 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2025, May 7, 2025, Mar 11, 2025 and 1 more (4 updates tracked since 2016).

On this page

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1285185942), doing business as Providence Medford Medical Center, is a healthcare organization registered as a clinical pathology in Medford, Oregon and active in the NPI registry since October 2016. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1285185942

Entity TypeOrganization

Primary Taxonomy207ZC0006X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address1111 CRATER LAKE AVEMedford, OR 97504-6241

Mailing AddressPo Box 31001-4199Pasadena, CA 91110-4199

Phone(541) 732-5000

Organization SubpartNo

Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786

Enumeration DateOctober 18, 2016

Last NPPES UpdateMay 27, 20254 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1285185942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPathology · Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZC0006X

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X

1111 CRATER LAKE AVE, Medford, OR 97504

Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Medford Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

311

Medicare enrollment records show 311 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 51 practice at this address and 113 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Nurse Practitioner47

Emergency Medicine35

Hospitalist34

Internal Medicine34

Pathology26

Cardiovascular Disease (Cardiology)19

Family Practice16

Pediatric Medicine13

20 other specialties87

Nearest to this location (20)

See all 311

Anna Akita, M.D.

Emergency Medicine

NPI 1942521372

1111 CRATER LAKE AVE
Medford, OR 97504

(541) 732-6233

✔ PECOSSame address

Shaik Basha, MD

Hospitalist

NPI 1578712378

1111 CRATER LAKE AVE
Medford, OR 97504

(541) 732-5545

✔ PECOS✔ Accepts MedicareSame address

Cory Bergey, DO

Emergency Medicine

NPI 1982826137

1111 CRATER LAKE AVE
Medford, OR 97504

(503) 215-4323

✔ PECOSSame address

Amanda Fischer, AGACNP

Nurse Practitioner

NPI 1346854759

1111 CRATER LAKE AVE
Medford, OR 97504

(541) 732-5545

✔ PECOSSame address

Vipul Mahajan, M.D

Internal Medicine

NPI 1467795864

1111 CRATER LAKE AVE
Medford, OR 97504

(541) 732-5545

✔ PECOS✔ Accepts MedicareSame address

Pankhuri Malhotra, DO

Hospitalist

NPI 1518587187

1111 CRATER LAKE AVE
Medford, OR 97504

(541) 732-5545

✔ PECOS✔ Accepts MedicareSame address

Brendan Pike, NP

Nurse Practitioner

NPI 1811746969

1111 CRATER LAKE AVE
Medford, OR 97504

(541) 732-5000

✔ PECOS✔ Accepts MedicareSame address

Puneet Bandi, M.D.

Family Practice

NPI 1801030382

1111 CRATER LAKE AVE
Medford, OR 97504

(541) 732-5545

✔ PECOSSame address

Michele Dekorte, MD

Internal Medicine

NPI 1912183328

1111 CRATER LAKE AVE
Medford, OR 97504

(541) 732-5000

✔ PECOS✔ Accepts MedicareSame address

Amanda Bujaucius, CNM

Certified Nurse Midwife (CNM)

NPI 1891205134

940 ROYAL AVE UNIT 350
Medford, OR 97504

(541) 732-7460

✔ PECOS✔ Accepts MedicareSame address

William Craft, MD

General Surgery

NPI 1689760506

940 ROYAL AVE SUITE 420
Medford, OR 97504

(541) 732-8388

✔ PECOS✔ Accepts MedicareSame address

Nancy Hagloch, MD

Obstetrics/Gynecology

NPI 1184711749

940 ROYAL AVE SUITE 350
Medford, OR 97504

(541) 732-7460

✔ PECOSSame address

Marjorie Harvill-Brooks, DO

Urology

NPI 1831148196

940 ROYAL AVE SUITE 350
Medford, OR 97504

(541) 732-7460

✔ PECOSSame address

Timothy Hutchings, DO

Urology

NPI 1144345455

940 ROYAL AVE STE 350
Medford, OR 97504

(541) 732-7460

✔ PECOS✔ Accepts MedicareSame address

Jennifer Jackson, M.D.

Obstetrics/Gynecology

NPI 1174784367

940 ROYAL AVE UNIT 350
Medford, OR 97504

(541) 732-7460

✔ PECOS✔ Accepts MedicareSame address

Hillary Handelsman, CNM, WHNP, NP

Certified Nurse Midwife (CNM)

NPI 1215127519

940 ROYAL AVE UNIT 350
Medford, OR 97504

(541) 732-7460

✔ PECOS✔ Accepts MedicareSame address

Sandeep Jhajj, M.D

Vascular Surgery

NPI 1174962369

940 ROYAL AVE UNIT 100
Medford, OR 97504

(541) 732-8388

✔ PECOS✔ Accepts MedicareSame address

Elisa Akagi Fukushima, M.D.

Infectious Disease

NPI 1730568080

1698 E MCANDREWS RD STE 160
Medford, OR 97504

(541) 732-6070

✔ PECOS✔ Accepts MedicareSame address

Julian Bell, MD

Pulmonary Disease

NPI 1497840813

1698 E MCANDREWS RD SUITE 400
Medford, OR 97504

(541) 732-7960

✔ PECOS✔ Accepts MedicareSame address

Tracy Haley, MD

General Surgery

NPI 1407943889

1698 E MCANDREWS RD SUITE 160
Medford, OR 97504

(541) 732-7874

✔ PECOS✔ Accepts MedicareSame address

See all 311 clinicians

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

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Providence Medford Medical Center (CMS certification number 38T075), from CMS Care Compare.

Providence Medford Medical Center

Inpatient rehabilitation facility · Medford, OR

OwnershipNon-profit

CMS Certification Number38T075

Medicare-Certified SinceJanuary 1, 1984

Location1111 Crater Lake AvenueMedford, OR 97504

Phone(541) 732-6346

Rehabilitation unit within a hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation

Stroke

patient stays

Hip or knee replacement, amputation or other bone or joint condition

patient stays

Spinal cord disease or condition (non-traumatic)

patient stays

Brain disease or condition (non-traumatic)

Less than 11 patient stays

Brain injury (traumatic)

Less than 11 patient stays

Hip or femur fracture

Less than 11 patient stays

Nervous system disorder (excluding stroke)

Less than 11 patient stays

Spinal cord injury (traumatic)

Less than 11 patient stays

All other conditions

patient stays

Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

Quality Measures

Medications reviewed, with follow-up when issues were found

Drug Regimen Review · 116 patient stays

99.1%

Patients given a current list of their medications at discharge

Transfer of Health Information to the Patient · 41 patient stays

100%

Medication list sent to the next provider at discharge

Transfer of Health Information to the Provider · 75 patient stays

100%

Patients who meet or exceed the self-care ability expected for their condition at discharge

Discharge Self-Care Score · 109 patient stays

37.6%

Patients who meet or exceed the mobility expected for their condition at discharge

Discharge Mobility Score · 109 patient stays

22.9%

Patients who meet or exceed the overall function expected at discharge

Discharge Function Score · 109 patient stays

41.28%

Patients who experienced one or more falls with major injury during their stay

116 patient stays · Lower rates are better for this measure.

Patients with pressure ulcers or injuries that are new or worsened

Risk-adjusted rate · 116 patient stays · observed rate 0.9% · Lower rates are better for this measure.

1.1%

Healthcare workers given the influenza vaccine

27 healthcare workers

51.9%

Healthcare workers up to date on COVID-19 vaccination

18 healthcare workers

Measures are reported under the CMS Inpatient Rehabilitation Facility Quality Reporting Program. Reporting periods vary by measure (October 2021 to December 2023). Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to home or the community

93 of 108 patient stays · observed rate 86.11%

74.63%

risk-standardized rate

Better than the National Rate

Potentially preventable readmissions within 30 days after discharge

3 readmissions of 108 patient stays · observed rate 2.78% · Lower rates are better for this measure.

8.32%

risk-standardized rate

No Different than the National Rate

Potentially preventable readmissions during the rehabilitation stay

1 readmissions of 114 patient stays · observed rate 0.88% · Lower rates are better for this measure.

4.19%

risk-standardized rate

No Different than the National Rate

Medicare spending per episode of care

1.00 = national average per episode of care · based on 113 episodes

1.03

spending ratio

Risk-standardized rates account for differences in patient condition mix. Comparison labels are assigned by CMS.

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 Providence Health & Services - Oregon's NPI number?

The NPI number for Providence Health & Services - Oregon is 1285185942. It was assigned to this organization in the NPPES registry on October 18, 2016. The provider is doing business as Providence Medford Medical Center.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1111 Crater Lake Ave, Medford, OR 97504. The listed phone number is (541) 732-5000.

What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology, with taxonomy code 207ZC0006X.

Is Providence Health & Services - Oregon enrolled in Medicare?

Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 311 clinicians in 28 Medicare specialties reassign their Medicare billing to Providence Health & Services - Oregon. 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 (47), Emergency Medicine (35) and Hospitalist (34). Of these, 51 practice at this address and 113 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Providence Health & Services - Oregon a Medicare-certified inpatient rehabilitation facility?

Yes. Providence Medford Medical Center is a Medicare-certified inpatient rehabilitation facility (CMS certification number 38T075), certified since January 1, 1984.

What insurance does Providence Health & Services - Oregon accept?

Health plans from Moda Health Plan, Inc. list Providence Health & Services - Oregon 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 Providence Health & Services - Oregon was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.