Individual provider Active NPI

Denise Stella Barba Basilan, M.D.

  • Family Medicine Physician
  • Salem, OR
National Provider Identifier
1144323346
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD189073 Issued in OR
Practice address
370 Lincoln St SE
Salem, OR 97302-4350
Phone
(971) 599-1002
Fax
(503) 967-6107
NPI assigned
Sep 6, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD189073 OR Primary

Addresses

Primary practice location

370 Lincoln St SE
Salem, OR 97302-4350

Mailing address

370 Lincoln St SE
Salem, OR 97302-4350
Phone (971) 599-1002

Other names 1

  • Denise S Barba Former name

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
I20200325002213 OR Practitioner - Family Practice 2062587678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five Red Car Day LLCGroup PAC ID 4587906391, 3 clinicians

Practice addresses (Care Compare)

370 Lincoln St SE
Salem, OR 97302-4350
Phone 97159910021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD189073ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Five Red Car Day LLC Family Medicine CurrentSince Apr 1, 2020 Accepting new patients

Locations

4744 Liberty Rd S
Ste 120
Salem, OR 97302
Phone (971) 599-1002

Interoperability endpoints

  • Direct secure messaging: denise.barba.1@26227.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26227/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1144323346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 LINCOLN ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024350",
            "telephone_number": "971-599-1002",
            "fax_number": "503-967-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LINCOLN ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024350",
            "telephone_number": "971-599-1002",
            "fax_number": "503-967-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILAN",
        "first_name": "DENISE STELLA",
        "middle_name": "BARBA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD189073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "BARBA",
            "middle_name": "S",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.