NPIMap

Individual provider Active NPI

Erandhi Nirasha Hall, D.O.

  • Family Medicine Physician
  • Corvallis, OR
National Provider Identifier
1437586765
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO179583 Issued in OR
Practice address
3620 NW Samaritan Dr # 203a
Corvallis, OR 97330-4714
Phone
(541) 768-4810
NPI assigned
Oct 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A12903 CA
Family Medicine Physician 207Q00000X DO179583 OR Primary

Addresses

Primary practice location

3620 NW Samaritan Dr # 203a
Corvallis, OR 97330-4714

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehall130987@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161010001471 OR Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0840505848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany General HospitalGroup PAC ID 9931097987, 191 clinicians

Practice addresses (Care Compare)

400 Hickory St NW
Albany, OR 97321-1700

534 Pleasant View Way NW
Albany, OR 97321-1700

705 Elm St SW
Suite 200
Albany, OR 97321-1957
Phone (541) 812-4850

Hospital & facility affiliations

  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
80.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A12903CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital Current Accepting new patients
Albany General Hospital Family Medicine CurrentSince Sep 27, 2021 Accepting new patients
Albany General Hospital Family Medicine CurrentSince Sep 27, 2021 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Oct 1, 2016 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Oct 1, 2016 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

3620 NW Samaritan Dr
Ste 203A
Corvallis, OR 97330
Phone (541) 768-4810

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

Interoperability endpoints

  • Direct secure messaging: ehall130987@samhealth.direct-ci.com

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.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1437586765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 NW SAMARITAN DR # 203A",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304714",
            "telephone_number": "541-768-4810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 Brookshire Ave",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902414917",
            "country_code": "US",
            "telephone_number": "562-904-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "ERANDHI",
        "middle_name": "NIRASHA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12903",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO179583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehall130987@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3620 NW Samaritan Dr # 203A",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973304714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.