Individual provider Active NPI

Michael Nanaszko, M.D.

  • Neurological Surgery Physician
  • Salem, OR
National Provider Identifier
1275829996
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD189733 Issued in OR
Practice address
2485 12TH St SE
Salem, OR 97302-2151
Phone
(503) 399-1386
Fax
(503) 399-1182
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 72595 AZ
Neurological Surgery Physician 207T00000X MD189733 OR Primary

Addresses

Primary practice location

2485 12TH St SE
Salem, OR 97302-2151

Mailing address

2485 12TH St SE
Salem, OR 97302-2151
Phone (503) 399-1386

Other identifiers 1

IdentifierTypeStateIssuer
72595OtherAZAZ TRAINING PERMIT

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
I20190104000472 OR Practitioner - Neurosurgery 7517203052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
JS Weill Medical College, Cornell University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Neurosurgery SpecialistsGroup PAC ID 0648516187, 8 clinicians

Practice addresses (Care Compare)

2485 12TH St SE
Salem, OR 97302-2151
Phone (503) 399-1386

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056
  • Legacy Silverton Medical Center Hospital, Silverton, OR, CCN 380029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion135
Laminectomy or laminotomy (partial removal of spine bones)48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72595AZMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Neurosurgery Specialists Neurological Surgery CurrentSince Nov 1, 2018 Accepting new patients
Salem Health Past Accepting new patients

Locations

2485 12th St SE
Salem, OR 97302
Phone (503) 363-8047

875 Oak St SE
Ste 5085
Salem, OR 97301
Phone (503) 561-7240

875 Oak St SE
Ste 5060
Salem, OR 97301
Phone (503) 399-1386

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.nanaszkomd.p97@direct.wvp.nextgenshare.com

Organizations & group practices 2

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.

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1275829996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022151",
            "telephone_number": "503-399-1386",
            "fax_number": "503-399-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022151",
            "telephone_number": "503-399-1386",
            "fax_number": "503-399-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANASZKO",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "72595",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD189733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ TRAINING PERMIT",
            "identifier": "72595",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.