Individual provider Active NPI

Veronica Cecilia Carrasco Cabrera, M.D.

  • Family Medicine Physician
  • Salem, OR
National Provider Identifier
1538574165
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD181749 Issued in OR
Practice address
1049 Edgewater St NW # 150
Salem, OR 97304-4046
Phone
(503) 814-4400
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD181749 OR Primary

Addresses

Primary practice location

1049 Edgewater St NW # 150
Salem, OR 97304-4046

Mailing address

PO Box 14001
Salem, OR 97309-5014
Phone (503) 814-4400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815004212 OR Practitioner - Family Practice 6002188729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

1049 Edgewater St NW
Suite 150
Salem, OR 97304-4046
Phone (503) 814-4400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Salem Health CurrentSince Sep 1, 2017 Accepting new patients

Locations

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

1049 Edgewater St NW
#150
Salem, OR 97304
Phone (503) 814-3343

1049 Edgewater St NW
Ste 150
Salem, OR 97304
Phone (503) 814-3343

Interoperability endpoints

  • Direct secure messaging: vcarrascocabrera177982@direct.salemhealth.org

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538574165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14001",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973095014",
            "telephone_number": "503-814-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 EDGEWATER ST NW # 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044046",
            "telephone_number": "503-814-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO CABRERA",
        "first_name": "VERONICA",
        "middle_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD181749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.