Individual provider Active NPI

Renu Bhandari

  • Family Medicine Physician
  • Keizer, OR
National Provider Identifier
1609564392
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD230940 Issued in OR
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

Updated by the provider on Jul 30, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230607002312 OR Order and Referring Only - Family PracticePractitioner - Family Practice 4183081011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Clinic, PC CurrentSince Aug 15, 2026 Accepting new patients

Locations

5900 Inland Shores Way N
Ste 100
Keizer, OR 97303

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.