Active NPI
Raghunandan Kamineni, MD
- Cardiovascular Disease Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD25541
- Practice address
- 665 Winter St SE
Suite B0350
Salem, OR 97301-3934 - Phone
- (503) 814-4440
- Fax
- (503) 561-7180
- NPI assigned
- Aug 2, 2005
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD25541 | OR | Primary |
| Interventional Cardiology Physician | 207RI0011X | MD | OR |
Addresses
Primary practice location
665 Winter St SE
Suite B0350
Salem, OR 97301-3934
Mailing address
PO Box 886
Salem, OR 97308-0886
Phone (503) 814-4440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R152646 | Other | MEDICARE PTAN | |
| 269541 | Medicaid | OR |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Arney Rd
Suite 120
Woodburn, OR 97071-9472
Phone (503) 814-8640
610 Hawthorne Ave SE
Suite 110
Salem, OR 97301-5378
Phone (503) 814-4440
665 Winter St SE
Salem, OR 97301-3934
Phone (503) 561-5200
890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.49 of 100
- Quality
- 76.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 88.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25541 | OR | MD | Cardiovascular Disease Physician |
| MD | OR | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health West Valley | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Pacific Cardiovascular Center, LLC | Current | Accepting new patients | |
| Oregon Heart Center PC | Cardiovascular Disease | Current | Accepting new patients |
| Ipn of Arizona, PLC | Past | Accepting new patients |
Locations
525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344
1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301
1049 Edgewater St NW
#150
Salem, OR 97304
Phone (503) 814-3343
550 Hawthorne Ave SE
Ste 150
Salem, OR 97301
Phone (971) 707-4525
610 Hawthorne Ave SE
Ste 110
Salem, OR 97301
Phone (503) 561-7160
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
665 Winter St SE
Ste B0350
Salem, OR 97301
Phone (503) 814-4440
875 Oak St SE
Ste 5020
Salem, OR 97301
Phone (503) 371-4044
Interoperability endpoints
- rkamineni171801@direct.ohsu.edu
- rkamineni3563086@oc.providencedirect.org
- rkamineni7075@direct.salemhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Salem, OR
- NPI 1902138969
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- Ambulatory Surgical Clinic/Center
- Salem, OR
- NPI 1740946128
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
dba Inpatient Physicians Network of Arizona
- Internal Medicine Physician
- Glendale, AZ
- NPI 1538119284
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- General Acute Care Hospital
- Stayton, OR
- NPI 1154302214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659372407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 886",
"city": "SALEM",
"state": "OR",
"postal_code": "973080886",
"telephone_number": "503-814-4440",
"fax_number": "503-561-7180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 WINTER ST SE",
"address_2": "SUITE B0350",
"city": "SALEM",
"state": "OR",
"postal_code": "973013934",
"telephone_number": "503-814-4440",
"fax_number": "503-561-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINENI",
"first_name": "RAGHUNANDAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "MD25541",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OR",
"license": "MD",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "R152646",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269541",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.