SALEM EMERGENCY PHYSICIANS SERVICE, PC
NPI 1063454395
Emergency Medicine in Salem, OR
About Salem Emergency Physicians Service, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALEM EMERGENCY PHYSICIANS SERVICE, PC (NPI 1063454395) is a healthcare organization registered as an emergency medicine in Salem, Oregon and active in the NPI registry since June 2006. The organization lists Robert Kelly, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Group Practice 1
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)
Salem Emergency Physicians Service, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
47Medicare enrollment records show 47 clinicians reassign Medicare billing to Salem Emergency Physicians Service, PC, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 47Salem, OR 97301
Salem, OR 97301
Salem, OR 97301
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 Salem Emergency Physicians Service, PC's NPI number?
The NPI number for Salem Emergency Physicians Service, PC is 1063454395. It was assigned to this organization in the NPPES registry on June 12, 2006.
Where is Salem Emergency Physicians Service, PC located?
Salem Emergency Physicians Service, PC is located at 890 Oak Street SE Building 'a', Salem, OR 97301. The listed phone number is (503) 561-5634.
What is Salem Emergency Physicians Service, PC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Salem Emergency Physicians Service, PC enrolled in Medicare?
Yes. Salem Emergency Physicians Service, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Salem Emergency Physicians Service, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 2 Medicare specialties reassign their Medicare billing to Salem Emergency Physicians Service, PC. 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 Emergency Medicine (45) and Nurse Practitioner (2). Of these, 17 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Salem Emergency Physicians Service, PC accept?
Health plans from Moda Health Plan, Inc. list Salem Emergency Physicians Service, PC 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 Salem Emergency Physicians Service, PC was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Salem Emergency Physicians Service, Pc · NPI 1063454395
Emergency Medicine organization in Salem, Oregon. Organization record, active in the CMS NPPES registry since June 12, 2006.
## Identity
- **NPI:** 1063454395 (Entity type: Organization)
- **Enumerated:** June 12, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Robert Kelly, MD
## Practice location
- **Address:** 890 OAK STREET, SE BUILDING 'A', Salem, OR 97301-3905
- **Phone:** (503) 561-5634 · **Fax:** (503) 814-1071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 47 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (45), Nurse Practitioner (2); 17 practice at this address and 25 within 10 miles; [full list](https://npiprofile.com/npi/1063454395/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2019
- **Other identifiers:** Other 8902424; Other CR0251; Medicaid 7028699 (WA); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1063454395) · Data from the CMS NPPES public registry.