Individual provider Active NPI

Jennifer Salati, M.D.

  • Maternal & Fetal Medicine Physician
  • Portland, OR
National Provider Identifier
1164664389
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD162127 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Ohsu, Mail Code L458
Portland, OR 97239-3011
Phone
(503) 418-4200
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X MD443900 OR
Maternal & Fetal Medicine Physician 207VM0101X MD162127 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Ohsu, Mail Code L458
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Ohsu, Mail Code L458
Portland, OR 97239-3011
Phone (503) 494-2685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130807000868 OR Practitioner - Obstetrics/Gynecology 5698917425 Reassigns benefits to 1 organization
I20170208001510 WA Practitioner - Obstetrics/Gynecology 5698917425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

300 N Graham
100 Maternal Fetal Med
Portland, OR 97227-1667
Phone (503) 413-1122

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD162127ORMDMaternal & Fetal Medicine Physician
MD443900ORMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Oct 29, 2018 Accepting new patients
Legacy Clinics LLC Maternal & Fetal Medicine CurrentSince Oct 29, 2018 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 29, 2018 Accepting new patients
Good Shepherd Health Care System Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

24850 SE Stark St
Ste 150
Gresham, OR 97030
Phone (503) 414-5700

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

300 N Graham St
Ste 100
Portland, OR 97227
Phone (503) 413-1122

454 Welch St
Silverton, OR 97381
Phone (503) 873-1722

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

2101 NE 139th St
Ste 260
Vancouver, WA 98686
Phone (360) 487-2870

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1164664389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "OHSU, MAIL CODE L458",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "OHSU, MAIL CODE L458",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-418-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALATI",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OR",
            "license": "MD443900",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OR",
            "license": "MD162127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.