COFAS INC – Internal Medicine Physician, NPI 1033179684

COFAS INC is a healthcare provider. based in Klamath falls, Oregon. specializing in Internal Medicine Physician. The organization holds a License No. MD11585 (OR). The NPI Number for COFAS INC is 1033179684

Main info

Organization
Name
COFAS INC
NPI
1033179684
Phone
(541) 882-3818
Address
2218 SHALLOCK AVE
Authorized Official
CHARLES KEITH COFAS OWNER/MD MD
Enumeration Date
27 March 2006
Last Update Date
16 May 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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Provider Addresses for COFAS INC

  • 2218, Shallock Avenue, Klamath Falls, Klamath County, Oregon, 97601, United States

    KLAMATH FALLS, OR 976014290

    Phone: (541) 882-3818

    Fax: (541) 882-9800

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060410000032OClinic/Group PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97601)

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Reviews

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Frequently asked questions

What is the standard ID for COFAS INC in the U.S.?
In the U.S., COFAS INC is identified by NPI 1033179684.
Is COFAS INC currently accepting referrals based on NPI status?
Registry metadata lists COFAS INC as active.
What type of care does COFAS INC provide?
COFAS INC's profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to COFAS INC?
COFAS INC shows a connection to Klamath Falls, Oregon in registry-derived data.
Can I export COFAS INC's record?
You can download the official NPPES record; we summarize key fields for readability.

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