Active NPI
Renu Bhandari
- Family Medicine Physician
- Keizer, OR
National Provider Identifier
1609564392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD230940
- Practice address
- 5900 Inland Shores Way N Ste 100
Keizer, OR 97303-3883 - Phone
- (503) 399-2424
- Fax
- (503) 589-6240
- NPI assigned
- May 1, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD230940 | OR | Primary |
Addresses
Primary practice location
5900 Inland Shores Way N Ste 100
Keizer, OR 97303-3883
Mailing address
5900 Inland Shores Way N Ste 100
Keizer, OR 97303-3883
Phone (503) 399-2424
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230607002312 | OR | Order and Referring Only - Family Practice | 4183081011 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Clinic, PC | Current | Accepting new patients |
Locations
5900 Inland Shores Way N
Ste 100
Keizer, OR 97303
Interoperability endpoints
- rbhandari263432@samhealth.direct-ci.com
Organizations & group practices 1
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.
-
- General Practice Physician
- Salem, OR
- NPI 1912935594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1609564392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 INLAND SHORES WAY N STE 100",
"city": "KEIZER",
"state": "OR",
"postal_code": "973033883",
"telephone_number": "503-399-2424",
"fax_number": "503-589-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 INLAND SHORES WAY N STE 100",
"city": "KEIZER",
"state": "OR",
"postal_code": "973033883",
"telephone_number": "503-399-2424",
"fax_number": "503-589-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHANDARI",
"first_name": "RENU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD230940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.