Hadjer Bounama
Individual provider Active NPI Family Medicine Physician · Lebanon, OR
NPI 1245649474 · NPPES record last updated Jun 19, 2024
Key facts
- NPI
- 1245649474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO218800 (OR)
- Practice address
- 191 N Main St
Lebanon, OR 97355-2870 - Phone
- (541) 451-7940
- NPI assigned
- Aug 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 17
Hospital & facility affiliations 55
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Col of Osteo Med of the Pacific at Lebanon, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid-Valley Healthcare Inc
Practice addresses (Care Compare)
191 N Main St
Lebanon, OR 97355-2870
Phone (541) 451-7940
646 Holley Rd
Sweet Home, OR 97386-3344
Phone (541) 451-6272
679 Main St
Sweet Home, OR 97386-3305
Phone (541) 451-6250
Hospital & facility affiliations
- Signature Healthcare at Home
- First Call Home Health Agency, LLC
- Samaritan Lebanon Community Hospital
- Samaritan Albany General Hospital
- Good Samaritan Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.77 of 100
- Quality
- 88.09
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.48
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200902000848 | CA | Practitioner - Family Practice | 4688091820 | Reassigns benefits to 3 organizations |
| I20240426001327 | OR | Practitioner - Family Practice | 4688091820 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17981 | CA | MD | Dental Hygienist |
| UO5384 | FL | MD | Family Medicine Physician |
| DO218800 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Valley Healthcare, Inc. | Current |
Accepting new patients | |
| County of Santa Clara | Current |
Accepting new patients | |
| County of Santa Clara | Family Medicine | Current | Accepting new patients |
| County of Santa Clara | Current |
Accepting new patients | |
| County of Santa Clara | Current |
Accepting new patients | |
| Mid-Valley Healthcare Inc | Current |
Accepting new patients | |
| County of Santa Clara | Current |
Accepting new patients | |
| Mid-Valley Healthcare Inc | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients |
Locations
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
191 N Main St
Lebanon, OR 97355
Phone (541) 451-7802
325 Park St
Lebanon, OR 97355
Phone (541) 451-7200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | UO5384 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | DO218800 | OR | Yes |
Addresses
Primary practice location
191 N Main St
Lebanon, OR 97355-2870
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
6450 38th Ave N
St Petersburg, FL 33710-1645
Phone (727) 545-4444
Other practice location 2
500 NE Multnomah St # 16
Portland, OR 97232-2023
Phone (503) 813-1085
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hbounama291327@samhealth.direct-ci.com |
Other providers in Lebanon, OR
- Charise Anne Blodgett
- Drew Blumberg
- Janice Upton Blumer
- Amithyst Bosley
- Stephanie Erica Bosvert
- Penny Boyd
- Jodell J. Boyle
- Rebecca Louise Bracken-Taylor
- Breaking Free, LLC
- Bridge Creek Investors LLC
All providers in Lebanon, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.