Individual provider Active NPI

Oleg Balter, MD

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1770859878
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD222668 Issued in OR
Practice address
10201 SE Main St Ste 10a
Portland, OR 97216-2968
Phone
(503) 255-2186
Fax
(503) 255-2194
NPI assigned
Mar 22, 2012
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01072999A IN
Family Medicine Physician 207Q00000X MD222668 OR Primary

Addresses

Primary practice location

10201 SE Main St Ste 10a
Portland, OR 97216-2968

Mailing address

1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537

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
I20250121000499 OR Practitioner - Family Practice 6901335991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

435 Lancaster Dr NE
Salem, OR 97301-4729
Phone (503) 585-6388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01072999AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Family Medical Center Inc Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
Willamette Family, Inc Past Accepting new patients

Locations

435 Lancaster Dr NE
Salem, OR 97301
Phone (503) 585-6388

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wfts/r4/
  • Direct secure messaging: obalter198833@direct.ohsu.edu
  • Direct secure messaging: oleg.balter.p1@direct.wfamilymed.nextgenshare.com

Organizations & group practices 2

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 2

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": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1770859878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SW 5TH AVE STE 500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 SE MAIN ST STE 10A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162968",
            "telephone_number": "503-255-2186",
            "fax_number": "503-255-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTER",
        "first_name": "OLEG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01072999A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD222668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.