Active NPI
Kamran Ghalili, MD
- Cardiovascular Disease Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD26864
- Practice address
- 610 Hawthorne Ave SE Ste 110
Salem, OR 97301 - Phone
- (503) 814-4440
- Fax
- (503) 814-4444
- NPI assigned
- Jul 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD26864 | OR | |
| Cardiovascular Disease Physician | 207RC0000X | MD26864 | OR | Primary |
Addresses
Primary practice location
610 Hawthorne Ave SE Ste 110
Salem, OR 97301
Mailing address
PO Box 886
Salem, OR 97308-0886
Phone (503) 814-4440
Other practice location 1
665 Winter St SE Ste B0350
Salem, OR 97301-3934
Phone (503) 814-4440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28417 | Medicaid | OR | |
| R152645 | Other | OR | MEDICARE |
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
- Cardiovascular Disease (Cardiology)
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
610 Hawthorne Ave SE
Suite 110
Salem, OR 97301-5378
Phone (503) 814-4440
890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200
Hospital & facility affiliations
- Salem Hospital
- Salem Health West Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.49 of 100
- Quality
- 76.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 88.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26864 | OR | MD | Cardiovascular Disease Physician |
| 26864 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health West Valley | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Oregon Heart Center PC | Cardiovascular Disease | Current | Accepting new patients |
| Salem Health | Current | Accepting new patients | |
| Nebraska Heart Institute PC | Cardiovascular Disease | Past | Accepting new patients |
| Jeffrey a Passer MD PC | Past | Accepting new patients |
Locations
525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344
9605 Grand Ronde Rd
Grand Ronde, OR 97347
Phone (503) 879-2002
1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301
875 Oak St SE
Salem, OR 97301
Phone (503) 561-5719
890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830
610 Hawthorne Ave SE
Ste 110
Salem, OR 97301
Phone (503) 561-7160
1049 Edgewater St NW
#150
Salem, OR 97304
Phone (503) 814-3343
665 Winter St SE
Ste B0350
Salem, OR 97301
Phone (503) 814-4440
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
Interoperability endpoints
- kghalili3536653@oc.providencedirect.org
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Salem, OR
- NPI 1902138969
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- Internal Medicine Physician
- Omaha, NE
- NPI 1497006787
-
- Cardiovascular Disease Physician
- Lincoln, NE
- NPI 1336125202
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": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1417977166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 886",
"city": "SALEM",
"state": "OR",
"postal_code": "973080886",
"telephone_number": "503-814-4440",
"fax_number": "503-814-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 HAWTHORNE AVE SE STE 110",
"city": "SALEM",
"state": "OR",
"postal_code": "97301",
"telephone_number": "503-814-4440",
"fax_number": "503-814-4444"
}
],
"practiceLocations": [
{
"address_1": "665 Winter St SE Ste B0350",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973013934",
"country_code": "US",
"telephone_number": "503-814-4440",
"fax_number": "503-814-4444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHALILI",
"first_name": "KAMRAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OR",
"license": "MD26864",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "MD26864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28417",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "R152645",
"state": "OR"
}
],
"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 Jul 11, 2018; 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.