Active NPI
Ryan Moore, M.D.
- Diagnostic Radiology Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD182936
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rmoore215143@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Hospital
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
- Salem Hospital
- St Joseph Medical Center
- St Anthony Hospital
- Salem Health West Valley
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61621455 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Radiology Consultants PC | Diagnostic Radiology | Current | Accepting new patients |
| Tra Medical Imaging Centers LLC | Current | Accepting new patients | |
| Union Avenue Open MRI LLC | Current | Accepting new patients | |
| Portland Clinic | Current | Accepting new patients | |
| Tra-Minw P S | Current | Accepting new patients | |
| Salem Clinic, PC | Current | Accepting new patients | |
| Pacific Imaging Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Tra-Minw P S | Current | 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
- rmoore215143@samhealth.direct-ci.com
- 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.
-
- Internal Medicine Physician
- Portland, OR
- NPI 1558379099
-
- General Practice Physician
- Salem, OR
- NPI 1912935594
-
- Diagnostic Radiology Physician
- Salem, OR
- NPI 1649221813
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
OR
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1265137574
-
- Radiology Clinic/Center
- Federal Way, WA
- NPI 1184790032
-
- General Practice Physician
- Keizer, OR
- NPI 1992973622
-
- Diagnostic Radiology Physician
- Salem, OR
- NPI 1114978418
-
- Radiology Clinic/Center
- Bonney Lake, WA
- NPI 1760636930
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.