Active NPI
Michael Nanaszko, M.D.
- Neurological Surgery Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD189733
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72595 | Other | AZ | AZ 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
Enrollment records 1
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
Practice addresses (Care Compare)
2485 12TH St SE
Salem, OR 97302-2151
Phone (503) 399-1386
Hospital & facility affiliations
- Salem Hospital
- Salem Health West Valley
- Santiam Hospital & Clinics
- Legacy Silverton Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 135 |
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72595 | AZ | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Neurosurgery Specialists | Neurological Surgery | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Neurological Surgery Physician
- Salem, OR
- NPI 1588140263
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
Hospital & facility affiliations 5
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
-
- General Acute Care Hospital
- Stayton, OR
- NPI 1154302214
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.