PROVIDENCE HEALTH & SERVICES OREGON
NPI 1265743330
Internal Medicine - Interventional Cardiology in Salem, OR
About Providence Health & Services Oregon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES OREGON (NPI 1265743330), doing business as Providence Medcial Group, is a healthcare organization registered as an interventional cardiology in Salem, Oregon and active in the NPI registry since June 2010. The organization lists Donald Wayne Anderson, Asst Sec Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Other Identifiers 1
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
1,498Medicare enrollment records show 1,498 clinicians reassign Medicare billing to Providence Health & Services Oregon, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 56
Nearest to this location (20)
See all 1,498Source: 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 1265743330. It was assigned to this organization in the NPPES registry on June 23, 2010. The provider is doing business as Providence Medcial Group and Providence St Vincent Heart Clinics Cardiology Doctors Clinic Salem.
Where is Providence Health & Services Oregon located?
Providence Health & Services Oregon is located at 5050 Skyline Village Loop S, Salem, OR 97306. The listed phone number is (503) 291-2123.
What is Providence Health & Services Oregon's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
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), 1,498 clinicians in 56 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 Internal Medicine (250), Family Practice (212) and Nurse Practitioner (210). Of these, 3 practice 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 July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Providence Health & Services Oregon · NPI 1265743330
Interventional Cardiology organization in Salem, Oregon. Organization record, active in the CMS NPPES registry since June 23, 2010.
## Identity
- **NPI:** 1265743330 (Entity type: Organization)
- **Enumerated:** June 23, 2010
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **Also known as:** PROVIDENCE MEDCIAL GROUP (Doing Business As); Providence St Vincent Heart Clinics Cardiology Doctors Clinic Salem (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASST SEC ENROLLMENT
## Practice location
- **Address:** 5050 SKYLINE VILLAGE LOOP S, Salem, OR 97306-9490
- **Phone:** (503) 291-2123
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,498 clinicians in 56 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (250), Family Practice (212), Nurse Practitioner (210); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1265743330/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 4, 2025
- **Other identifiers:** Medicaid 500630291 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1265743330) · Data from the CMS NPPES public registry.