Individual provider Active NPI

Ryan Moore, M.D.

  • Diagnostic Radiology Physician
  • Salem, OR
National Provider Identifier
1659639557
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD182936 Issued in OR
Practice address
2925 Ryan Dr SE
Salem, OR 97301
Phone
(503) 399-1262
NPI assigned
Apr 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD61621455 WA
Diagnostic Radiology Physician 2085R0202X MD182936 OR Primary

Addresses

Primary practice location

2925 Ryan Dr SE
Salem, OR 97301

Mailing address

2925 Ryan Dr SE
Salem, OR 97301-9687

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-5266

Other practice location 2

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Other practice location 3

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmoore215143@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180516000113 OR Practitioner - Diagnostic Radiology 6002170248 Reassigns benefits to 7 organizations
I20251219002622 WA Practitioner - Diagnostic Radiology 6002170248 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santiam Memorial HospitalGroup PAC ID 6103729751, shared by 8 NPIs, 128 clinicians
Tra-Minw P SGroup PAC ID 2163316167, 152 clinicians
Union Avenue Open MRI LLCGroup PAC ID 5597652917, 44 clinicians
Salem Clinic PCGroup PAC ID 7517954514, 96 clinicians
Salem Radiology Consultants PCGroup PAC ID 0446148498, 33 clinicians
Portland ClinicGroup PAC ID 8224942867, 93 clinicians

Practice addresses (Care Compare)

1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (503) 769-2175

1592 View Lake CT
Lake Oswego, OR 97034-3770
Phone (253) 761-4200

2020 Capitol St NE
Salem, OR 97301-0644
Phone (503) 399-2424

2502 S Union Ave
Tacoma, WA 98405-1328
Phone (253) 841-4353

2925 Ryan Dr SE
Salem, OR 97301-9687
Phone (503) 399-1262

3542 NE Franklin St
Camas, WA 98607-6904
Phone (610) 477-6137

800 SW 13TH Ave
Portland, OR 97205-1902
Phone 50322101612110

964 W S Cir
Washougal, WA 98671-5156
Phone (503) 399-1262

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151
  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61621455WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Radiology Consultants PC Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 Accepting new patients
Union Avenue Open MRI LLC CurrentSince Dec 1, 2024 Accepting new patients
Portland Clinic CurrentSince Dec 1, 2023 Accepting new patients
Tra-Minw P S CurrentSince Dec 1, 2024 Accepting new patients
Salem Clinic, PC CurrentSince Jul 1, 2018 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Dec 1, 2024 Accepting new patients
Tra-Minw P S CurrentSince Dec 1, 2025 Accepting new patients
Salem Imaging LLC Diagnostic Radiology Past Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance Past Accepting new patients
Salem Clinic, PC Past Accepting new patients

Locations (25 of 28)

2725 SW Cedar Hills Blvd
Ste 225
Beaverton, OR 97005

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

5900 Inland Shores Way N
Keizer, OR 97303
Phone (503) 485-4787

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

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

800 SW 13th Ave
Portland, OR 97205
Phone (503) 221-0161

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

475 S Columbia River Hwy
Saint Helens, OR 97051
Phone (503) 397-8040

2925 Ryan Dr SE
Salem, OR 97301
Phone (503) 399-1262

2020 Capitol St NE
Salem, OR 97301
Phone (503) 399-2470

2531 Boone Rd SE
Salem, OR 97306
Phone (503) 399-2470

1165 Union St NE
Salem, OR 97301
Phone (503) 588-2674

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

9250 SW Hall Blvd
Tigard, OR 97223
Phone (503) 221-0161

19250 SW 65th Ave
Ste 300
Tualatin, OR 97062
Phone (503) 692-1242

122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750

21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391

5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622

500 Lilly Rd NE
Ste 160
Olympia, WA 98506
Phone (360) 413-8307

222 15th Ave SE
Puyallup, WA 98372

11212 Sunrise Blvd E
Ste 200
Puyallup, WA 98374

3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399

5919 100th St SW
Tacoma, WA 98499

Interoperability endpoints

  • Direct secure messaging: rmoore215143@samhealth.direct-ci.com
  • FHIR API: https://app.meldrx.com/api/fhir/ei-trami

Organizations & group practices 12

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 7

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1659639557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 RYAN DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973019687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 RYAN DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-399-1262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-5266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 SW Abbey St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-265-2244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 Fawcett Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021900",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61621455",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD182936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmoore215143@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.