NPIMap

Individual provider Active NPI

Surinder Ms Vasdev, MD

  • Gastroenterology Physician
  • Corvallis, OR
National Provider Identifier
1093893554
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD17690 Issued in OR
Practice address
3521 NW Samaritan Dr Ste 101
Corvallis, OR 97330-4744
Phone
(541) 768-6119
Fax
(541) 768-6120
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD17690 OR Primary
Specialist 174400000X MD17690 OR

Addresses

Primary practice location

3521 NW Samaritan Dr Ste 101
Corvallis, OR 97330-4744

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other identifiers 1

IdentifierTypeStateIssuer
044904MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address svasdev331963@samhealth.direct-ci.com

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
I20040429000021 OR Practitioner - Gastroenterology 8729978986 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Medical Group Inc 60 clinicians
Good Samaritan Hospital Corvallis 372 clinicians

Practice addresses (Care Compare)

2510 NW Edenbower Blvd
Suite 112
Roseburg, OR 97471-8899
Phone (541) 541-4646

3509 NW Samaritan Dr
Corvallis, OR 97330-3893

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Roseburg, OR, CCN 380027
  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022
  • Samaritan Lebanon Community Hospital Hospital, Lebanon, OR, CCN 381323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy94
Upper gastrointestinal (GI) endoscopy for acid reflux103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17690ORMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital CurrentSince Nov 3, 2025 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Nov 3, 2025 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Nov 3, 2025 Accepting new patients
Corvallis Gastroenterology PC Specialist CurrentSince Feb 12, 2002 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Nov 3, 2025 Accepting new patients
Centennial Medical Group Inc. Gastroenterology CurrentSince Jul 17, 2023 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Nov 3, 2025 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Nov 3, 2025 Accepting new patients
Albany General Hospital CurrentSince Nov 3, 2025 Accepting new patients
Albany General Hospital Current Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

3521 NW Samaritan Dr
Ste 101
Corvallis, OR 97330
Phone (541) 768-6119

3517 NW Samaritan Dr
Ste 101
Corvallis, OR 97330
Phone (541) 753-2205

3517 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-5142

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

904 SW Bay St
Newport, OR 97365
Phone (541) 683-2020

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

2510 NW Edenbower Blvd
Ste 112
Roseburg, OR 97471
Phone (541) 464-6260

201 NW Medical Loop
Ste 190
Roseburg, OR 97471
Phone (541) 644-4319

Interoperability endpoints

  • Direct secure messaging: svasdev331963@samhealth.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Samaritan Regional Medical CenterCorvallis, OR, CCN 380014 Hospital Corporate Director Aug 20, 2024

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 21

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1093893554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 NW SAMARITAN DR STE 101",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304744",
            "telephone_number": "541-768-6119",
            "fax_number": "541-768-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASDEV",
        "first_name": "SURINDER",
        "middle_name": "MS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD17690",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD17690",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044904",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svasdev331963@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3521 NW Samaritan Dr Ste 101",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973304744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.