SPROUT PEDIATRICS
NPI 1457808321
Clinic/Center - Medical Specialty in Salem, OR
NPI Status: Active since September 08, 2016
Contact Information
4350 COMMERCIAL ST SE
SALEM, OR
ZIP 97302
Phone: (503) 877-4485
- Organization
- Clinic/Center
- Medical Specialty
- Accepts Insurance
- CLIA Number: 38D2120771
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-23-2026
About SPROUT PEDIATRICS
This page provides the complete NPI Profile along with additional information for Sprout Pediatrics, a provider established in Salem, Oregon operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1457808321 assigned on September 2016. The practitioner's primary taxonomy code is 261QM2500X with license number MD22473 (OR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Sprout Pediatrics. The authorized official of this NPI record is Dr. Dorin Kemmerle Md (Manager)
- NPI
- 1457808321
- Provider Legal Name
- DORIN KEMMERLE MD LLC
- Other Organization Name
- SPROUT PEDIATRICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4350 COMMERCIAL ST SE SALEM, OR 97302
- Location Phone
- (503) 877-4485
- Mailing Address
- 4350 COMMERCIAL ST SE SALEM, OR 97302
- Mailing Phone
- (503) 877-4485
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-08-2016
- Last Update Date
- 12-12-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- MD22473
- License State
- OR
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2120771
- Facility Type
- Physician Office
- Certificate Effective Date
- October 24, 2024
- Certificate Expiration Date
- October 23, 2026
- Laboratory Director
- DORIN KEMMERLE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sprout Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1457808321, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457808321, enumerated as an "organization" on September 08, 2016.
The provider is located at 4350 COMMERCIAL ST SE SALEM, OR 97302 and the phone number is (503) 877-4485.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
The provider might be accepting Accepts: BridgeSpan Health Company, Providence Health Plan. Please consult your insurance carrier or call the provider to verify.