Individual provider Active NPI

Hrishikesh S Iyengar, MD

  • Interventional Cardiology Physician
  • Salem, OR
National Provider Identifier
1861695165
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD153101 Issued in OR
Practice address
610 Hawthorne Ave SE Ste 110
Salem, OR 97301
Phone
(503) 814-4440
Fax
(503) 814-4444
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD153101 OR Primary

Addresses

Primary practice location

610 Hawthorne Ave SE Ste 110
Salem, OR 97301

Mailing address

PO Box 886
Salem, OR 97308-0886
Phone (503) 814-4440

Other practice location 1

6080 N La Cholla Blvd # 200
Tucson, AZ 85741-3533
Phone (520) 797-8550

Other practice location 2

665 Winter St SE Ste B0350
Salem, OR 97301-3934
Phone (503) 814-4440

Other identifiers 2

IdentifierTypeStateIssuer
500631254MedicaidOR
R157563OtherORMEDICARE

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
I20110202000764 OR Practitioner - Cardiovascular Disease (Cardiology) 5092880021 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem HealthGroup PAC ID 8628986668, 470 clinicians
Oregon Heart Center PCGroup PAC ID 1951438472, 12 clinicians

Practice addresses (Care Compare)

105 Arney Rd
Suite 120
Woodburn, OR 97071-9472
Phone (503) 814-8640

610 Hawthorne Ave SE
Suite 110
Salem, OR 97301-5378
Phone (503) 814-4440

665 Winter St SE
Salem, OR 97301-3934
Phone (503) 561-5200

890 Oak St SE
Salem, OR 97301-3905
Phone (503) 561-5200

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056
  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014

Merit-based Incentive Payment System (MIPS)

Final score
90.49 of 100Reported as group
Quality
76.77
Promoting interoperability
100
Improvement activities
40
Cost
88.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD153101ORMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health West Valley CurrentSince Apr 9, 2012 Accepting new patients
Salem Health CurrentSince Jun 23, 2011 Accepting new patients
Salem Health Family Medicine CurrentSince Jun 23, 2011 Accepting new patients
Oregon Heart Center PC CurrentSince Jan 1, 2011 Accepting new patients
Northwest Cardiology LLC Interventional Cardiology Past Accepting new patients

Locations

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

610 Hawthorne Ave SE
Ste 110
Salem, OR 97301
Phone (503) 561-7160

1049 Edgewater St NW
#150
Salem, OR 97304
Phone (503) 814-3343

875 Oak St SE
Salem, OR 97301
Phone (503) 561-5719

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

665 Winter St SE
Ste B0350
Salem, OR 97301
Phone (503) 814-4440

Interoperability endpoints

  • Direct secure messaging: hiyengar3536577@oc.providencedirect.org
  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4

Organizations & group practices 5

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 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1861695165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973080886",
            "telephone_number": "503-814-4440",
            "fax_number": "503-814-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HAWTHORNE AVE SE STE 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-814-4440",
            "fax_number": "503-814-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6080 N La Cholla Blvd # 200",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413533",
            "country_code": "US",
            "telephone_number": "520-797-8550",
            "fax_number": "520-797-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "665 Winter St SE Ste B0350",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013934",
            "country_code": "US",
            "telephone_number": "503-814-4440",
            "fax_number": "503-814-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "HRISHIKESH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD153101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500631254",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R157563",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.