NPIMap

Individual provider Active NPI

Reyna Dawn Swift

  • Dermatology Physician
  • Salem, OR
National Provider Identifier
1861812927
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MDMD186824 Issued in OR
Practice address
2441 Grear St NE
Salem, OR 97301
Phone
(503) 364-3321
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MDMD186824 OR Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2441 Grear St NE
Salem, OR 97301

Mailing address

2441 Grear St NE
Salem, OR 97301-2795
Phone (503) 364-3321

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
I20180724003029 OR Practitioner - Dermatology 3173870995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Washington School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Clinic PCGroup PAC ID 3577559012, 14 clinicians

Practice addresses (Care Compare)

2441 Grear St NE
Salem, OR 97301-2749
Phone (503) 364-3321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision74
Removal of skin lesions1238
Removal or shaving of skin growth1-10
Skin biopsy392

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDMD186824ORMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Clinic PC Single Specialty CurrentSince Aug 6, 2018 Accepting new patients

Locations

5900 Inland Shores Way N
Ste 202
Keizer, OR 97303
Phone (503) 463-6799

2441 Grear St NE
Salem, OR 97301
Phone (503) 364-3321

2521 Boone Rd SE
Ste 140
Salem, OR 97306

Organizations & group practices 1

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1861812927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 GREAR ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012795",
            "telephone_number": "503-364-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 GREAR ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-364-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "REYNA",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MDMD186824",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.