Active NPI
Nicholas Calley, MD
- Diagnostic Radiology Physician
- Portland, OR
National Provider Identifier
1285681791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD13143
- Practice address
- 10123 SE Market
Portland, OR 97216-2532 - Phone
- (503) 257-6132
- Fax
- (503) 251-6136
- NPI assigned
- May 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD13143 | OR | Primary |
Addresses
Primary practice location
10123 SE Market
Portland, OR 97216-2532
Mailing address
PO Box 2097
Portland, OR 97208
Phone (503) 251-6132
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003830020 | Other | OR | REGENCE BCBS |
| 8421919 | Medicaid | WA | |
| 148189 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13143 | OR | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD13143 | OR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Radiologists, PC | Diagnostic Radiology | Past | Accepting new patients |
| Corvallis Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Corvallis, OR
- NPI 1881651289
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1780702993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1285681791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2097",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97208",
"telephone_number": "503-251-6132",
"fax_number": "503-251-6136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10123 SE MARKET",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162532",
"telephone_number": "503-257-6132",
"fax_number": "503-251-6136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLEY",
"first_name": "NICHOLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD13143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BCBS",
"identifier": "003830020",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8421919",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148189",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.