Individual provider Active NPI

Deepika Wali, M.D.

  • Medical Oncology Physician
  • Klamath Falls, OR
National Provider Identifier
1144205295
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
CP203502 Issued in OR
Practice address
2610 Uhrmann Rd
Klamath Falls, OR 97601-1123
Phone
(541) 274-4171
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X A49021 CA
Medical Oncology Physician 207RX0202X CP203502 OR Primary

Addresses

Primary practice location

2610 Uhrmann Rd
Klamath Falls, OR 97601-1123

Mailing address

PO Box 2120
Portland, OR 97208-2120
Phone (541) 274-6556

Other practice location 1

38463 5th St W
Palmdale, CA 93551-4279
Phone (661) 999-9999

Other practice location 2

501 NW Elks Dr Ste 100
Corvallis, OR 97330-3757
Phone (541) 768-4950

Other identifiers 2

IdentifierTypeStateIssuer
BU558WOtherCAMCARE PTAN
00A490210OtherCABCBS

Other names 1

  • Dr. Deepika Parimoo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwali198892@samhealth.direct-ci.com

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
I20210128003128 OR Practitioner - Medical Oncology 9032155973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

2610 Uhrmann Rd
Klamath Falls, OR 97601-1123
Phone (541) 274-6262

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49021CAMDMedical Oncology Physician
CP203502ORMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A Life Care Hospice Inc. CurrentSince Apr 26, 2020 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Nov 10, 2021 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Nov 10, 2021 Accepting new patients
Usc Care Medical Group, Inc Past Accepting new patients
Deepika Wali, M.D., Inc. PastSince Jan 1, 1990 Accepting new patients
Good Samaritan Hospital Corvallis PastSince Jan 1, 2021 Accepting new patients

Locations

10970 Arrow Rte
Ste 213
Rancho Cucamonga, CA 91730
Phone (747) 237-8507

2610 Uhrmann Rd
Klamath Falls, OR 97601
Phone (541) 274-4171

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

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

Interoperability endpoints

  • Direct secure messaging: dwali198892@samhealth.direct-ci.com

Organizations & group practices 7

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 5

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1144205295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082120",
            "telephone_number": "541-274-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 UHRMANN RD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011123",
            "telephone_number": "541-274-4171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38463 5th St W",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935514279",
            "country_code": "US",
            "telephone_number": "661-999-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 NW Elks Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303757",
            "country_code": "US",
            "telephone_number": "541-768-4950",
            "fax_number": "541-768-9377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALI",
        "first_name": "DEEPIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A49021",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OR",
            "license": "CP203502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE PTAN",
            "identifier": "BU558W",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00A490210",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwali198892@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "501 NW Elks Dr Ste 100",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEEPIKA",
            "last_name": "PARIMOO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.