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DR. KATHERINE ROLLINS BLACK MD NPI 1801018122


NPI Information

NPI: 1801018122
Provider Name: DR. KATHERINE ROLLINS BLACK, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

PECOS Registration: Yes

Address:
1130 NW 22ND AVE STE 410
PORTLAND, OR
ZIP 97210
Phone: (503) 229-7137
Get Directions

DR. Katherine Rollins Black, MD is a gastroenterology internal medicine in Portland, OR with 12 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Katherine Rollins Black, MD NPI is 1801018122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1130 NW 22ND AVE STE 410
PORTLAND, OR
ZIP 97210-911
Phone: (503) 229-7137
Fax: (503) 241-0628

The NPI 1801018122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Biopsy of large bowel using an endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43235)

The enumeration date for this NPI number is 5/3/2007 and was last updated on 3/21/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyMD156824OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MD156824OTHEROREGONPROVIDER STATE LICENSE
2R165158MEDICARE UPINOREGON
3500647193MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.