ROGUE VALLEY MANOR, INC
NPI 1780634808
Internal Medicine in Medford, OR
About Rogue Valley Manor, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROGUE VALLEY MANOR, INC (NPI 1780634808) is a healthcare organization registered as an internal medicine in Medford, Oregon and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Melissa Preston, Associate Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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)
Rogue Valley Manor, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Rogue Valley Manor, Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D0724553
Rogue Valley Manor · Medford, ORFrequently 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 Rogue Valley Manor, Inc's NPI number?
The NPI number for Rogue Valley Manor, Inc is 1780634808. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is also known as Rogue Valley Manor Clinic.
Where is Rogue Valley Manor, Inc located?
Rogue Valley Manor, Inc is located at 1200 Mira Mar Ave, Medford, OR 97504. The listed phone number is (541) 857-7133.
What is Rogue Valley Manor, Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Rogue Valley Manor, Inc enrolled in Medicare?
Yes. Rogue Valley Manor, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rogue Valley Manor, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Rogue Valley Manor, Inc, in Internal Medicine and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rogue Valley Manor, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D0724553) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rogue Valley Manor, Inc accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Rogue Valley Manor, Inc 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 Rogue Valley Manor, Inc was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Rogue Valley Manor, Inc · NPI 1780634808
Internal Medicine organization in Medford, Oregon. Organization record, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1780634808 (Entity type: Organization)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** Rogue Valley Manor Clinic (Other Name)
- **Organization subpart:** Yes (part of Rogue Valley Manor)
- **Authorized official:** Melissa Preston, ASSOCIATE EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1200 MIRA MAR AVE, Medford, OR 97504-8546
- **Phone:** (541) 857-7133 · **Fax:** (541) 857-7594
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780634808) · Data from the CMS NPPES public registry.