Individual provider Active NPI

Julieta Madrid Morales, MD

  • Infectious Disease Physician
  • Salem, OR
National Provider Identifier
1801457353
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD218102 Issued in OR
Practice address
3025 Ryan Dr SE
Salem, OR 97301-5057
Phone
(503) 561-6444
NPI assigned
Jun 25, 2019
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD218102 OR Primary

Addresses

Primary practice location

3025 Ryan Dr SE
Salem, OR 97301-5057

Mailing address

3025 Ryan Dr SE
Salem, OR 97301-5057
Phone (503) 561-6444

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
I20240628001814 OR Practitioner - Infectious Disease 0840674347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Oncology Specialists LLPGroup PAC ID 3971576240, 41 clinicians

Practice addresses (Care Compare)

3025 Ryan Dr SE
Salem, OR 97301-5057
Phone (503) 485-0350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD218102ORMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Oncology Specialists, LLP Infectious Disease CurrentSince Jul 29, 2024 Accepting new patients
Oregon Oncology Specialists, LLP CurrentSince Jul 29, 2024 Accepting new patients
Salem Health Past Accepting new patients

Locations

3025 Ryan Dr SE
Salem, OR 97301
Phone (503) 485-0350

875 Oak St SE
Ste 4030
Salem, OR 97301
Phone (503) 561-6492

Organizations & group practices 3

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 1

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1801457353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 RYAN DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015057",
            "telephone_number": "503-561-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 RYAN DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015057",
            "telephone_number": "503-561-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID MORALES",
        "first_name": "JULIETA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OR",
            "license": "MD218102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.