Individual provider Active NPI

Ravinder Samra, MD

  • Obstetrics & Gynecology Physician
  • Hermiston, OR
National Provider Identifier
1861475915
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD228127 Issued in OR
Practice address
620 NW 11TH St Ste M106
Hermiston, OR 97838-6941
Phone
(541) 667-3801
Fax
(541) 667-3802
NPI assigned
Nov 22, 2005
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD228127 OR Primary
Obstetrics & Gynecology Physician 207V00000X MD00046983 WA
Hospitalist Physician 208M00000X MD00046983 WA

Addresses

Primary practice location

620 NW 11TH St Ste M106
Hermiston, OR 97838-6941

Mailing address

620 NW 11TH St Ste M106
Hermiston, OR 97838-6941
Phone (541) 667-3801

Other identifiers 1

IdentifierTypeStateIssuer
2002147MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070807000650 WA Practitioner - Obstetrics/GynecologyPractitioner - Hospitalist 8325139249 Reassigns benefits to 3 organizations
I20260306001204 OR Practitioner - Obstetrics/Gynecology 8325139249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Hospitalist
Education
Saint Louis University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians

Practice addresses (Care Compare)

400 S 43Rd St
Renton, WA 98055-5714
Phone (425) 228-3450

610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00046983WAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Health Care System CurrentSince Jan 20, 2026 Accepting new patients
Good Shepherd Health Care System CurrentSince Jan 20, 2026 Accepting new patients
Valley Medical Group-Renton Hospitalist CurrentSince Dec 1, 2025 Accepting new patients
Lourdes Hospital LLC Obstetrics & Gynecology CurrentSince Sep 1, 2018 Accepting new patients
Lourdes Hospital LLC Current Accepting new patients
McLaren Medical Group Past Accepting new patients
Our Lady of Lourdes Health Center Past Accepting new patients
Lourdes Hospital LLC Past Accepting new patients
RCCH Trios Health LLC Past Accepting new patients
Kadlec Regional Medical Center Past Accepting new patients

Locations

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

620 NW 11th St
Ste M106
Hermiston, OR 97838
Phone (541) 667-3801

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

1200 N 14th Ave
Pasco, WA 99301
Phone (509) 547-7536

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

7425 Wrigley Dr
Pasco, WA 99301
Phone (509) 416-8888

7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027

7425 Wrigley Dr
Ste 206
Pasco, WA 99301
Phone (509) 546-8400

400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450

1175 Carondelet Dr
Richland, WA 99354
Phone (509) 943-9104

Interoperability endpoints

  • Direct secure messaging: ravinder.samra.1@18485.direct.athenahealth.com
  • Direct secure messaging: rsamra@direct.lmc.md

Organizations & group practices 10

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1861475915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M106",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "541-667-3801",
            "fax_number": "541-667-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M106",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "541-667-3801",
            "fax_number": "541-667-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMRA",
        "first_name": "RAVINDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD228127",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00046983",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD00046983",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002147",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.