PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1487733929
Internal Medicine - Interventional Cardiology in Medford, OR

Active since November 03, 2006
1698 E MCANDREWS RD, SUITE 300, MEDFORD, OR 97504(541) 732-7850(541) 732-7851 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, Nov 5, 2021 (3 updates tracked since 2021).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1487733929), doing business as Pmg South Cardiology, is a healthcare organization registered as an interventional cardiology 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

NPI1487733929
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1698 E MCANDREWS RD, SUITE 300Medford, OR 97504-5589
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (541) 732-7850
Fax(541) 732-7851
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 1487733929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedClinic/CenterTaxonomy 261Q00000X
1698 E MCANDREWS RD, Medford, OR 97504

Other Names 2

Doing Business AsPmg South Cardiology
Doing Business AsProvidence Medical Group South

Other Identifiers 2

Medicaid278306OR
OtherCG6801OR · Rail Road Medicare

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)

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
Nurse Practitioner
NPI 1740174945
1698 E MCANDREWS RD STE 280
Medford, OR 97504
(541) 204-1699
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124995626
1698 E MCANDREWS RD STE 280
Medford, OR 97504
(541) 204-1699
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1073589651
1698 E MCANDREWS RD STE 280
Medford, OR 97504
(541) 204-1699
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1003025875
1698 E MCANDREWS RD STE 280
Medford, OR 97504
(541) 204-1699
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1730568080
1698 E MCANDREWS RD STE 160
Medford, OR 97504
(541) 732-6070
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1497840813
1698 E MCANDREWS RD SUITE 400
Medford, OR 97504
(541) 732-7960
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1942697669
1698 E MCANDREWS RD STE 350
Medford, OR 97504
(541) 732-7460
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1407943889
1698 E MCANDREWS RD SUITE 160
Medford, OR 97504
(541) 732-7874
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1659449296
1698 E MCANDREWS RD SUITE 300
Medford, OR 97504
(541) 732-7950
✔ PECOSSame address
Pulmonary Disease
NPI 1366755126
1698 E MCANDREWS RD STE 400
Medford, OR 97504
(541) 732-7960
✔ PECOSSame address
General Surgery
NPI 1336124510
1698 E MCANDREWS RD SUITE 160
Medford, OR 97504
(541) 732-7874
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1215127519
940 ROYAL AVE UNIT 350
Medford, OR 97504
(541) 732-7460
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1174962369
940 ROYAL AVE UNIT 100
Medford, OR 97504
(541) 732-8388
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1134242167
940 ROYAL AVE UNIT 350
Medford, OR 97504
(541) 732-7460
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1174784367
940 ROYAL AVE UNIT 350
Medford, OR 97504
(541) 732-7460
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1578772935
940 ROYAL AVE SUITE 420
Medford, OR 97504
(541) 732-8388
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1801030382
1111 CRATER LAKE AVE
Medford, OR 97504
(541) 732-5545
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1578712378
1111 CRATER LAKE AVE
Medford, OR 97504
(541) 732-5545
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1467795864
1111 CRATER LAKE AVE
Medford, OR 97504
(541) 732-5545
✔ PECOS✔ Accepts MedicareSame address
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 1487733929. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Pmg South Cardiology and Providence Medical Group South.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1698 E Mcandrews Rd Suite 300, Medford, OR 97504. The listed phone number is (541) 732-7850.

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), 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.

What insurance does Providence Health & Services - Oregon accept?

Health plans from Moda Health Plan, Inc. list Providence Health & Services - Oregon 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 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.