NPIMap

Individual provider Active NPI

John Mark Mhoon, M.D.

  • Urology Physician
  • Salem, OR
National Provider Identifier
1013077510
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD22170 Issued in OR
Practice address
2973 12TH Street SE
Salem, OR 97302-6162
Phone
(503) 561-7100
Fax
(503) 561-7124
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD22170 OR Primary

Addresses

Primary practice location

2973 12TH Street SE
Salem, OR 97302-6162

Mailing address

2973 12TH Street SE
Salem, OR 97302-6162
Phone (503) 561-7100

Other identifiers 2

IdentifierTypeStateIssuer
288383MedicaidOR
MD22170OtherOROR LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000665 OR Practitioner - Urology 7810181385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Arkansas College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

2973 12TH St SE
Salem, OR 97302-3162
Phone (503) 561-7100

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Samaritan North Lincoln Hospital Hospital, Lincoln City, OR, CCN 381302

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
22.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Dec 15, 2024 Accepting new patients
Salem Health CurrentSince Dec 15, 2024 Accepting new patients

Locations

2973 12th St SE
Salem, OR 97302
Phone (503) 561-7100

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: jmhoon20388@direct.salemhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1013077510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 12TH STREET SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026162",
            "telephone_number": "503-561-7100",
            "fax_number": "503-561-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 12TH STREET SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026162",
            "telephone_number": "503-561-7100",
            "fax_number": "503-561-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MHOON",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD22170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288383",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR LICENSE",
            "identifier": "MD22170",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.