Individual provider Active NPI

Roxanne Marie Rich, M.D.

  • Pediatrics Physician
  • Salem, OR
National Provider Identifier
1851703433
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD181830 Issued in OR
Practice address
891 23Rd St NE
Salem, OR 97301-1793
Phone
(503) 364-2181
Fax
(503) 364-0364
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD181830 OR Primary

Addresses

Primary practice location

891 23Rd St NE
Salem, OR 97301-1793

Mailing address

1132 Natalie Ave S
Salem, OR 97306-9645
Phone (541) 350-9772

Other practice location 1

705 Riley Hospital Dr Rm 5867
Indianapolis, IN 46202-5109
Phone (317) 944-4034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD181830ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childhood Health Associates of Salem Single Specialty Past Accepting new patients
University Pediatric Associates, Inc. Single Specialty Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851703433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 NATALIE AVE S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069645",
            "telephone_number": "541-350-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 23RD ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011793",
            "telephone_number": "503-364-2181",
            "fax_number": "503-364-0364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Riley Hospital Dr Rm 5867",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025109",
            "country_code": "US",
            "telephone_number": "317-944-4034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "ROXANNE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD181830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.