Individual provider Active NPI

Vitus N Nwaele, MD

  • Family Medicine Physician
  • Albany, OR
National Provider Identifier
1750669917
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD167801 Issued in OR
Practice address
1100 7TH Ave SW
Albany, OR 97321-1925
Phone
(541) 812-4970
NPI assigned
Jul 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD167801 OR Primary

Addresses

Primary practice location

1100 7TH Ave SW
Albany, OR 97321-1925

Mailing address

1100 7TH Ave SW
Albany, OR 97321-1925

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141001000055 OR Practitioner - Family Practice 9830327543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians
CRM Physicians LLCGroup PAC ID 3678720729, 59 clinicians

Practice addresses (Care Compare)

105 Arney Rd
Suite 120
Woodburn, OR 97071-9472
Phone (503) 814-8640

5100 River Rd N
Keizer, OR 97303-5371
Phone (503) 393-2533

665 Winter St SE
Salem, OR 97301-3934
Phone (503) 561-5200

6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone (503) 430-1777

Hospital & facility affiliations

  • First Call Home Health Agency, LLC Home health agency, Salem, OR, CCN 387147
  • Signature Healthcare at Home Home health agency, Tigard, OR, CCN 387148
  • Amedisys Home Health Care Home health agency, Salem, OR, CCN 387136
  • Providence Benedictine Home Health Home health agency, Mount Angel, OR, CCN 387074
  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308
  • Salem Hospital Hospital, Salem, OR, CCN 380051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
MD167801ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Salem Health CurrentSince Jan 1, 2020 Accepting new patients
Salem Health Family Medicine Current Accepting new patients
CRM Physicians, LLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients

Locations

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008

6800 SW 105th Ave
Beaverton, OR 97008

650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588

5100 River Rd N
Keizer, OR 97303
Phone (503) 393-2533

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

Interoperability endpoints

  • Direct secure messaging: vnwaele237766@direct.salemhealth.org

Organizations & group practices 4

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 5

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1750669917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 7TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 7TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211925",
            "telephone_number": "541-812-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAELE",
        "first_name": "VITUS",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD167801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.