Individual provider Active NPI

Nabil Elia Choueiri, M.D.

  • Gastroenterology Physician
  • Salem, OR
National Provider Identifier
1124220660
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
P0713 Issued in TX
Practice address
875 Oak St SE
Ste 3010
Salem, OR 97301
Phone
(503) 399-7520
Fax
(503) 362-7344
NPI assigned
Jun 5, 2007
Last updated
Jul 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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 D69944 MD
Gastroenterology Physician 207RG0100X P0713 TX Primary

Addresses

Primary practice location

875 Oak St SE
Ste 3010
Salem, OR 97301

Mailing address

875 Oak St SE
Ste 3010
Salem, OR 97301
Phone (503) 399-7520

Other identifiers 5

IdentifierTypeStateIssuer
8CY095OtherTXBCBS
752616977008OtherTXTRICARE
231507600MedicaidMD
287413301MedicaidTX
P01005820OtherTXRAIL ROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903002849 OR Practitioner - GastroenterologyPractitioner - Internal Medicine 1850422148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Gastroenterology Consultants PCGroup PAC ID 4183611361, 15 clinicians

Practice addresses (Care Compare)

875 Oak St SE
Suite 3010
Salem, OR 97301-3978
Phone (503) 399-7520

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.48 of 100Reported as group
Quality
48.4
Improvement activities
0
Cost
74.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy103
Upper gastrointestinal (GI) endoscopy for acid reflux148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D69944MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Gastroenterology Consultants, PC Gastroenterology CurrentSince Oct 31, 2016 Accepting new patients
Salem Health Past Accepting new patients

Locations

607 SE Jefferson St
Dallas, OR 97338
Phone (503) 399-7520

4747 Skyline Rd S
Salem, OR 97306
Phone (503) 399-7520

875 Oak St SE
Ste 3010
Salem, OR 97301
Phone (503) 399-7520

875 Oak St SE
Ste C3010
Salem, OR 97301
Phone (503) 399-7520

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1124220660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE",
            "address_2": "STE 3010",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-399-7520",
            "fax_number": "503-362-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE",
            "address_2": "STE 3010",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-399-7520",
            "fax_number": "503-362-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUEIRI",
        "first_name": "NABIL",
        "middle_name": "ELIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D69944",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "P0713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CY095",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "752616977008",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231507600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287413301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P01005820",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.