FAIROZ RADTKE PA-C - NPI 1114207032 - Physician Assistant in Salem, OR

Q: What is Fairoz Radtke's NPI number?

The NPI number for Fairoz Radtke is 1114207032. It was assigned to this individual provider in the NPPES registry on August 23, 2011.

Q: What is Fairoz Radtke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Fairoz Radtke was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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About Fairoz Radtke Pa-c NPPES

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

FAIROZ RADTKE PA-C (NPI 1114207032) is an individual physician assistant in Salem, Oregon, licensed in Oregon (219833) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114207032

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameFAIROZ RADTKECredential: PA-C

Location Address960 LIBERTY ST SE STE 170Salem, OR 97302-4149

Mailing Address960 Liberty St Se Ste 170Salem, OR 97302-4149 · (815) 578-6109 · Fax (312) 268-5053

Phone(815) 578-6109

Fax(312) 268-5053

Sole ProprietorNo

Enumeration DateAugust 23, 2011

Last NPPES UpdateFebruary 24, 2026

NPPES CertifiedFebruary 24, 2026

✔ NPI 1114207032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OR · 219833

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

960 LIBERTY ST SE STE 170, Salem, OR 97302

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairoz Radtke Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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