DAVID ALLEN KALLBERG CRNA
NPI 1578890596
Nurse Anesthetist, Certified Registered in Salem, OR

Active since November 12, 2009Accepts Medicare Assignment
3099 RIVER RD S # 100, SALEM, OR 97302(503) 361-3094 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2024, Feb 4, 2022 (2 updates tracked since 2022).

About David Allen Kallberg Crna NPPES

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

DAVID ALLEN KALLBERG CRNA (NPI 1578890596) is an individual nurse anesthetist, certified registered in Salem, Oregon, licensed in Oregon (201260003CRNA) and active in the NPI registry since November 2009. He is affiliated with Providence St Vincent Medical Center and is a graduate of Oregon Health Sciences University School Of Medicine (2011).

NPPES Registry Identity

NPI1578890596
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDAVID ALLEN KALLBERGCredential: CRNA
Location Address3099 RIVER RD S # 100Salem, OR 97302-9754
Mailing Address1010 Se 47th AveHillsboro, OR 97123-7514 · (208) 577-7045
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2011
Enumeration DateNovember 12, 2009
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1578890596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OR · 201260003CRNA
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3099 RIVER RD S # 100, Salem, OR 97302

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Allen Kallberg Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941462964
PECOS Enrollment IDI20120508000447

Medicare Billing Reassignments

5

Medicare enrollment records show David Kallberg reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
3099 RIVER RD S # 100
Salem, OR 97302
  • Reassigned Medicare billing, Oregon enrollment
  • 7 clinicians in this Medicare group
Skilled Nursing Facility
3445 BOONE RD SE
Salem, OR 97317
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • 3,207 clinicians in this Medicare group
Anesthesiology
335 SE 8TH AVE
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 48 clinicians in this Medicare group
Anesthesiology
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 419 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1333 E BARNETT RD
Medford, OR 97504
  • Reassigned Medicare billing, Oregon enrollment
  • 64 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Hillsboro Medical Center

Acute Care Hospitals · Hillsboro, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380021
Location335 SE 8th AvenueHillsboro, OR 97123 · Washington County
Emergency services Birthing friendly

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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
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

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

Nurse Anesthetist, Certified Registered
3099 RIVER RD S # 100
SALEM, OR 97302

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 David Kallberg's NPI number?

The NPI number for David Kallberg is 1578890596. It was assigned to this individual provider in the NPPES registry on November 12, 2009.

Where is David Kallberg located?

David Kallberg practices at 3099 River Rd S # 100, Salem, OR 97302. The listed phone number is (503) 361-3094.

What is David Kallberg's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is David Kallberg enrolled in Medicare?

Yes. David Kallberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Kallberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Kallberg reassigns Medicare benefits to 5 organizations: Noble Dreams Anesthesia LLC (Salem, OR), South Salem Rehabilitation, LLC (Salem, OR), Tuality Anesthesia Services, LLC (Hillsboro, OR), Hospitalist Medicine Physicians Of Washington - Tcs (Portland, OR) and Anesthetic Solutions, Inc (Medford, OR). Each 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 David Kallberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Kallberg accept?

Health plans from Moda Health Plan, Inc. list David Kallberg 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.

Is David Kallberg affiliated with any hospitals?

According to CMS data, David Kallberg is affiliated with Providence St Vincent Medical Center and Hillsboro Medical Center.

When was this NPI record last updated?

The NPPES record for David Kallberg was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.