NPIMap

Individual provider Active NPI

Jared Dale Grose, MD

  • Anesthesiology Physician
  • Corvallis, OR
National Provider Identifier
1497913834
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD157444 Issued in OR
Practice address
2773 NW 9TH St
Corvallis, OR 97330-3857
Phone
(541) 207-0910
Fax
(541) 738-2596
NPI assigned
May 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD157444 OR Primary

Addresses

Primary practice location

2773 NW 9TH St
Corvallis, OR 97330-3857

Mailing address

2773 NW 9TH St
Corvallis, OR 97330-3857
Phone (541) 207-0910

Other practice location 1

3377 Riverbend Dr
Springfield, OR 97477-8803
Phone (541) 222-6200

Other practice location 2

1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

Other identifiers 1

IdentifierTypeStateIssuer
500648433MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgrose239791@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
I20121001000459 OR Practitioner - Anesthesiology 8820247190 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Oregon Health Sciences University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians
Three Oaks Anesthesia LLCGroup PAC ID 0648665067, 6 clinicians

Practice addresses (Care Compare)

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

633 Waverly Dr SE
Albany, OR 97322-5078
Phone (541) 918-4210

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
85.78
Promoting interoperability
100
Improvement activities
40
Cost
78.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD157444ORMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Albany General Hospital CurrentSince Jun 1, 2022 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Three Oaks Anesthesia LLC Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
Salem Health CurrentSince May 3, 2022 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jun 1, 2022 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 1, 2023 Accepting new patients
Upper Hand Orthopaedics, P.C. CurrentSince Dec 12, 2021 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 1, 2023 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Jun 1, 2022 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Jun 1, 2022 Accepting new patients
Salem Health CurrentSince May 3, 2022 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Jun 1, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Albany General Hospital Current Accepting new patients
Albany General Hospital CurrentSince Jun 1, 2022 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Jun 1, 2022 Accepting new patients
Oag Trauma Services LLC Anesthesiology PastSince Jun 11, 2019 Accepting new patients

Locations

633 Waverly Dr SE
Albany, OR 97322
Phone (541) 286-2309

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

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

2773 NW 9th St
Corvallis, OR 97330
Phone (541) 207-0910

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

1128 NE 2nd St
Ste 104
Corvallis, OR 97330
Phone (541) 207-3334

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5569/brand/1/csg/1/fhir/r4

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1497913834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 NW 9TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303857",
            "telephone_number": "541-207-0910",
            "fax_number": "541-738-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2773 NW 9TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303857",
            "telephone_number": "541-207-0910",
            "fax_number": "541-738-2596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3377 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778803",
            "country_code": "US",
            "telephone_number": "541-222-6200",
            "fax_number": "541-222-6182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1046 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211916",
            "country_code": "US",
            "telephone_number": "541-812-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSE",
        "first_name": "JARED",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-31",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD157444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500648433",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgrose239791@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1046 6th Ave SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.