Active NPI
Daniel M Elkin, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- MD191360
- Practice address
- 1600 State St
Salem, OR 97301-4257 - Phone
- (503) 540-6300
- Fax
- (503) 540-6404
- NPI assigned
- Apr 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD191360 | OR | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD191360 | OR | Primary |
Addresses
Primary practice location
1600 State St
Salem, OR 97301-4257
Mailing address
1600 State St
Salem, OR 97301-4257
Other practice location 1
5825 Shoreview Ln N
Keizer, OR 97303-3978
Phone (503) 540-6471
Other practice location 2
607 SE Jefferson St
Dallas, OR 97338-2025
Phone (503) 540-6300
Other practice location 3
1128 NE 2nd St
Corvallis, OR 97330-6230
Phone (503) 540-6300
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 State St
Salem, OR 97301-4257
Phone (503) 561-5200
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 59 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD191360 | OR | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health | Orthopaedic Surgery | Current | Accepting new patients |
| Salem Health | Orthopaedic Surgery | Current | Accepting new patients |
| Salem Health | Current | Accepting new patients |
Locations
5825 Shoreview Ln N
Keizer, OR 97303
Phone (503) 540-6471
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
875 Oak St SE
Ste 5010
Salem, OR 97301
Phone (503) 391-5133
1600 State St
Salem, OR 97301
Phone (503) 540-6472
Interoperability endpoints
- delkin201278@direct.salemhealth.org
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
Orthopaedic Surgery
-
- Family Medicine Physician
- Woodburn, OR
- NPI 1578112066
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1205279346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 STATE ST",
"city": "SALEM",
"state": "OR",
"postal_code": "973014257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 STATE ST",
"city": "SALEM",
"state": "OR",
"postal_code": "973014257",
"telephone_number": "503-540-6300",
"fax_number": "503-540-6404"
}
],
"practiceLocations": [
{
"address_1": "5825 Shoreview Ln N",
"address_purpose": "LOCATION",
"city": "Keizer",
"state": "OR",
"postal_code": "973033978",
"country_code": "US",
"telephone_number": "503-540-6471",
"fax_number": "503-540-6404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "607 SE Jefferson St",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "OR",
"postal_code": "973382025",
"country_code": "US",
"telephone_number": "503-540-6300",
"fax_number": "503-540-6404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1128 NE 2nd St",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973306230",
"country_code": "US",
"telephone_number": "503-540-6300",
"fax_number": "503-540-6404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELKIN",
"first_name": "DANIEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-08",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD191360",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "OR",
"license": "MD191360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.