Victor Wallenkampf, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G82276 Issued in CA

Practice address

2700 Dolbeer St
Eureka, CA 95501-4736

Phone

(707) 269-4250

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• CRM Physicians, LLC

  • Internal Medicine Physician
  • Beaverton, OR
  • NPI 1952674996

  Family Medicine, OR

  Medicare reassignment Care Compare group NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Roseburg, OR
  • NPI 1780647719

  Emergency Medicine, OR

  Medicare reassignment NPD
• Lower Umpqua Hospital District

  • Critical Access Hospital
  • Reedsport, OR
  • NPI 1003874819

  OR

  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Coos Bay, OR
  • NPI 1063893402

  Emergency Medicine

  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946

  Emergency Medicine

  NPD
• Lower Umpqua Hospital District

  • Community/Retail Pharmacy
  • Reedsport, OR
  • NPI 1336334754
  NPD
• Cottage Grove SNF Healthcare LLC

  • Skilled Nursing Facility
  • Cottage Grove, OR
  • NPI 1285483388
  NPD (past)

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

• Bristol Hospice - Eugene, LLC

  • Community Based Hospice Care Agency
  • Springfield, OR
  • NPI 1568962033

  Hospice

  Care Compare affiliation
• Cottage Grove SNF Healthcare LLC

  • Skilled Nursing Facility
  • Cottage Grove, OR
  • NPI 1285483388

  Nursing home

  Care Compare affiliation

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Cottage Grove SNF Healthcare LLC

  • Skilled Nursing Facility
  • Cottage Grove, OR
  • NPI 1285483388

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Creswell SNF Healthcare LLC

  • Skilled Nursing Facility
  • Creswell, OR
  • NPI 1114766722

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Specialty

Emergency MedicineAlso: Internal Medicine

Education

Loma Linda University School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CRM Physicians LLC 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bristol Hospice - Eugene LLC Hospice, Springfield, OR, CCN 381568
• Cottage Grove Post Acute Nursing home, Cottage Grove, OR, CCN 385152

Merit-based Incentive Payment System (MIPS)

Final score

87.3 of 100Reported as group

Quality

70.94

Improvement activities

40

Cost

92.94

Procedures performed for Medicare patients

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1740242452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 SPRING HILL LANE",
            "city": "BAYSIDE",
            "state": "CA",
            "postal_code": "955241461",
            "telephone_number": "707-822-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 DOLBEER ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014736",
            "telephone_number": "707-269-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENKAMPF",
        "first_name": "VICTOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD23323",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G82276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G822760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Dawn Walker, PPS
• Luke Walker
• Kathryn Maria Schell Walkley
• Renah Wall
• Ariel Frances Wallace
• Walmart Inc.
• Marilynne Sue Walpole, CADC L CA
• Emily Rose Walsh, PA-C
• Patrick Walsh
• Deborah Waranowski, LVN

• All providers in Eureka, CA
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.