NPIMap

Individual provider Active NPI

Sandeep Ajoy Saha, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Salem, OR
National Provider Identifier
1679685101
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD182348 Issued in OR
Practice address
610 Hawthorne Ave SE Ste 110
Salem, OR 97301
Phone
(503) 814-4440
Fax
(503) 814-4444
NPI assigned
Aug 31, 2006
Last updated
Jul 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD182348 OR
Cardiovascular Disease Physician 207RC0000X MD182348 OR
Clinical Cardiac Electrophysiology Physician 207RC0001X MD182348 OR Primary

Addresses

Primary practice location

610 Hawthorne Ave SE Ste 110
Salem, OR 97301

Mailing address

PO Box 886
Salem, OR 97308-0886
Phone (503) 814-4440

Other practice location 1

3333 Green Bay Rd
Department of Internal Medicine
North Chicago, IL 60064-3037
Phone (847) 578-3227

Other practice location 2

665 Winter St SE Ste B0350
Salem, OR 97301-3934
Phone (503) 814-4440

Other identifiers 1

IdentifierTypeStateIssuer
500726947MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170725002786 OR Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 8426141003 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Heart Center PCGroup PAC ID 1951438472, 12 clinicians
Salem HealthGroup PAC ID 8628986668, 470 clinicians

Practice addresses (Care Compare)

610 Hawthorne Ave SE
Suite 110
Salem, OR 97301-5378
Phone (503) 814-4440

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 100Reported as group
Quality
76.77
Promoting interoperability
100
Improvement activities
40
Cost
88.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD182348ORMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health West Valley CurrentSince Jul 5, 2017 Accepting new patients
Salem Health CurrentSince Jul 5, 2017 Accepting new patients
Salem Health CurrentSince Jul 5, 2017 Accepting new patients
Oregon Heart Center PC Cardiovascular Disease CurrentSince Aug 7, 2017 Accepting new patients
Inland Empire Hospital Services Association 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

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

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

Interoperability endpoints

  • Direct secure messaging: ssaha177590@direct.salemhealth.org
  • Direct secure messaging: ssaha3536486@oc.providencedirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1679685101",
    "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": "503-814-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HAWTHORNE AVE SE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-814-4440",
            "fax_number": "503-814-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Green Bay Rd",
            "address_2": "Department of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "North Chicago",
            "state": "IL",
            "postal_code": "600643037",
            "country_code": "US",
            "telephone_number": "847-578-3227",
            "fax_number": "847-578-8647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "665 Winter St SE Ste B0350",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013934",
            "country_code": "US",
            "telephone_number": "503-814-4440",
            "fax_number": "503-814-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHA",
        "first_name": "SANDEEP",
        "middle_name": "AJOY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD182348",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD182348",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OR",
            "license": "MD182348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500726947",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.