Active NPI
Wellbe Oregon PC
- Internal Medicine Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WELLBE OREGON PC
- Practice address
- 3535 Del Webb Ave NE Ste 120
Salem, OR 97301-7499 - Phone
- (855) 445-9520
- Fax
- (971) 353-4148
- NPI assigned
- May 15, 2023
- Last updated
- Sep 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Kang, MD
- Title
- Ceo
- Phone
- (312) 855-4851
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
3535 Del Webb Ave NE Ste 120
Salem, OR 97301-7499
Mailing address
225 W Washington St Ste 1700
Chicago, IL 60606-3404
Other practice location 1
225 W Washington St Ste 1500
Chicago, IL 60606-3485
Phone (855) 445-9520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2322689 | Wellbe Oregon PC | Certificate of waiver | Apr 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
225 W Washington St
Ste 1700
Chicago, IL 60606
Phone (234) 200-4220
3535 Del Webb Ave NE
Ste 120
Salem, OR 97301
Phone (855) 445-9520
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1710678537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 W WASHINGTON ST STE 1700",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606063404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 DEL WEBB AVE NE STE 120",
"city": "SALEM",
"state": "OR",
"postal_code": "973017499",
"telephone_number": "855-445-9520",
"fax_number": "971-353-4148"
}
],
"practiceLocations": [
{
"address_1": "225 W Washington St Ste 1500",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606063485",
"country_code": "US",
"telephone_number": "855-445-9520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WELLBE OREGON PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-15",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "KANG",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "312-855-4851",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.