NPIMap

Individual provider Active NPI

Daniel Eduardo Mendez-Allwood, MD

  • Rheumatology Physician
  • Salem, OR
National Provider Identifier
1821239310
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD157651 Issued in OR
Practice address
3025 Ryan Dr SE
Salem, OR 97301-5057
Phone
(503) 485-0350
Fax
(503) 561-6442
NPI assigned
Mar 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00778 RI
Rheumatology Physician 207RR0500X MD157651 OR Primary

Addresses

Primary practice location

3025 Ryan Dr SE
Salem, OR 97301-5057

Mailing address

875 Oak St SE Ste 4030
Salem, OR 97301-3984
Phone (503) 561-6444

Other practice location 1

875 Oak St SE Ste 4030
Salem, OR 97301-3984
Phone (503) 561-6444

Other identifiers 1

IdentifierTypeStateIssuer
500648035MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000144 OR Practitioner - Rheumatology 1355598566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2002
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
00778RIMDInternal Medicine Physician
MD157651ORMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Oncology Specialists, LLP CurrentSince May 4, 2020 Accepting new patients
Oregon Oncology Specialists, LLP Rheumatology CurrentSince May 4, 2020 Accepting new patients

Locations

2700 SE Stratus Ave
Ste A
McMinnville, OR 97128
Phone (503) 435-6590

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

875 Oak St SE
Ste 4030
Salem, OR 97301

Interoperability endpoints

  • Direct secure messaging: daniel.mendez-allwood@hoos.ikm.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1821239310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE STE 4030",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013984",
            "telephone_number": "503-561-6444",
            "fax_number": "503-561-6442"
        },
        {
            "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": "503-485-0350",
            "fax_number": "503-561-6442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Oak St SE Ste 4030",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013984",
            "country_code": "US",
            "telephone_number": "503-561-6444",
            "fax_number": "503-561-6442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ-ALLWOOD",
        "first_name": "DANIEL",
        "middle_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "00778",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OR",
            "license": "MD157651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500648035",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.