PROVIDENCE HEALTH & SERVICES OREGON
NPI 1093894511
Hospitalist in Medford, OR

Q: What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1093894511. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Pmg South General Surgery and Providence Medical Group South.

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

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since November 03, 2006

1698 E MCANDREWS RD, SUITE 160, MEDFORD, OR 97504(541) 732-7874(541) 732-7875 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, May 12, 2025, May 12, 2023 (3 updates tracked since 2023).

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About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1093894511), doing business as Pmg South General Surgery, is a healthcare organization registered as a hospitalist in Medford, Oregon and active in the NPI registry since November 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1093894511

Entity TypeOrganization

Primary Taxonomy208M00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address1698 E MCANDREWS RD, SUITE 160Medford, OR 97504-5589

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494

Phone(541) 732-7874

Fax(541) 732-7875

Organization SubpartYes

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786

Enumeration DateNovember 3, 2006

Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1093894511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedClinic/CenterTaxonomy 261Q00000X

1698 E MCANDREWS RD, Medford, OR 97504

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Other Names 2

Doing Business AsPmg South General Surgery

Doing Business AsProvidence Medical Group South

Other Identifiers 2

Medicaid022869OR

OtherCG6801OR · Rail Road Mediare

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

181

Medicare enrollment records show 181 clinicians reassign Medicare billing to Providence Health & Services Oregon, which bills Medicare for the services they deliver. Of these, 39 practice at this address and 103 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner38

Internal Medicine22

Hospitalist21

Family Practice16

Obstetrics/Gynecology11

Pediatric Medicine11

Cardiovascular Disease (Cardiology)9

Clinical Psychologist9

13 other specialties44

Nearest to this location (20)

See all 181

Milan Beebe, FNP

Nurse Practitioner

NPI 1740174945

1698 E MCANDREWS RD STE 280
Medford, OR 97504

(541) 204-1699

✔ PECOS✔ Accepts MedicareSame address

Oscar Benitez, FNP-C

Nurse Practitioner

NPI 1124995626

1698 E MCANDREWS RD STE 280
Medford, OR 97504

(541) 204-1699

✔ PECOS✔ Accepts MedicareSame address

Thong Bui, MD

Urology

NPI 1073589651

1698 E MCANDREWS RD STE 280
Medford, OR 97504

(541) 204-1699

✔ PECOS✔ Accepts MedicareSame address

Patrick Davol, M.D.

Urology

NPI 1003025875

1698 E MCANDREWS RD STE 280
Medford, OR 97504

(541) 204-1699

✔ 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

Rebecca Elliott, D.O.

Obstetrics/Gynecology

NPI 1942697669

1698 E MCANDREWS RD STE 350
Medford, OR 97504

(541) 732-7460

✔ 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

Jason Kuhl, M.D.

Family Practice

NPI 1659449296

1698 E MCANDREWS RD SUITE 300
Medford, OR 97504

(541) 732-7950

✔ PECOSSame address

Siva Rama Krishna Marri, M.D.

Pulmonary Disease

NPI 1366755126

1698 E MCANDREWS RD STE 400
Medford, OR 97504

(541) 732-7960

✔ PECOSSame address

Mark Mason, M.D.

General Surgery

NPI 1336124510

1698 E MCANDREWS RD SUITE 160
Medford, OR 97504

(541) 732-7874

✔ 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

Patricia Reddy, DNP, MSN, CNM, IBCLC

Certified Nurse Midwife (CNM)

NPI 1134242167

940 ROYAL AVE UNIT 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

Aaron Partsafas, M.D.

Vascular Surgery

NPI 1578772935

940 ROYAL AVE SUITE 420
Medford, OR 97504

(541) 732-8388

✔ PECOS✔ Accepts MedicareSame address

Puneet Bandi, M.D.

Family Practice

NPI 1801030382

1111 CRATER LAKE AVE
Medford, OR 97504

(541) 732-5545

✔ PECOS✔ Accepts MedicareSame address

Shaik Basha, MD

Hospitalist

NPI 1578712378

1111 CRATER LAKE AVE
Medford, OR 97504

(541) 732-5545

✔ PECOS✔ Accepts MedicareSame 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

See all 181 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 Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1093894511. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Pmg South General Surgery and Providence Medical Group South.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 1698 E Mcandrews Rd Suite 160, Medford, OR 97504. The listed phone number is (541) 732-7874.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

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), 181 clinicians in 21 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 (38), Internal Medicine (22) and Hospitalist (21). Of these, 39 practice at this address and 103 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Oregon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.