KOJI KAINUMA
NPI 1669898268
Nurse Practitioner - Psychiatric/Mental Health in Salem, OR

Active since March 07, 2014PECOS EnrolledAccepts Medicare Assignment
255 LANCASTER DR NE, SALEM, OR 97301(503) 576-8400(503) 364-0775 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2021, Sep 29, 2020, Jul 8, 2020 and 1 more (4 updates tracked since 2016).

About Koji Kainuma NPPES

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

KOJI KAINUMA (NPI 1669898268) is an individual psychiatric/mental health provider in Salem, Oregon, licensed in Oregon (201905019NP-PP) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Salem, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1669898268
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKOJI KAINUMA
Location Address255 LANCASTER DR NESalem, OR 97301-5155
Mailing Address255 Lancaster Dr NeSalem, OR 97301-5155 · (503) 576-8400 · Fax (503) 364-0775
Fax(503) 364-0775
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 7, 2014
Last NPPES UpdateMarch 18, 20214 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
NPI 1669898268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in OR · 201905019NP-PP Licensed in OR · 201904695RN Licensed in CA · 95001713
255 LANCASTER DR NE, Salem, OR 97301

Secondary Practice Location 1

Location 1255 Lancaster Dr NESalem, OR 97301-5155 · Phone (503) 576-8400 · Fax (503) 364-0775

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Koji Kainuma 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 ID8921227794
PECOS Enrollment IDI20200713001594
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 97301 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
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
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 20

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
255 LANCASTER DR NE
SALEM, OR 97301
Dietitian, Registered
255 LANCASTER DR NE
SALEM, OR 97301
Nurse Practitioner
255 LANCASTER DR NE
SALEM, OR 97301
Social Worker (Clinical)
255 LANCASTER DR NE
SALEM, OR 97301
Dentist
255 LANCASTER DR NE
SALEM, OR 97301
Clinical Medical Laboratory
255 LANCASTER DR NE
SALEM, OR 97301
Physician Assistant
255 LANCASTER DR NE
SALEM, OR 97301
Physician Assistant
255 LANCASTER DR NE
SALEM, OR 97301

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 Koji Kainuma's NPI number?

The NPI number for Koji Kainuma is 1669898268. It was assigned to this individual provider in the NPPES registry on March 7, 2014.

Where is Koji Kainuma located?

Koji Kainuma practices at 255 Lancaster Dr NE, Salem, OR 97301. The listed phone number is (503) 576-8400.

What is Koji Kainuma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Koji Kainuma enrolled in Medicare?

Yes. Koji Kainuma 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.

What insurance does Koji Kainuma accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Koji Kainuma 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 Koji Kainuma was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.