NPIMap

Individual provider Active NPI

Nita Vellody, DO

  • Internal Medicine Physician
  • Springfield, OR
National Provider Identifier
1912101338
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO152484 Issued in OR
Practice address
555 International Way
Springfield, OR 97477-6013
Phone
(458) 544-0400
Fax
(541) 255-2797
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO152484 OR Primary

Addresses

Primary practice location

555 International Way
Springfield, OR 97477-6013

Mailing address

555 International Way
Springfield, OR 97477-6013
Phone (458) 544-0400

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
I20101126000014 OR Practitioner - Internal Medicine 9032305461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daiya Healthcare PLLCGroup PAC ID 6002158615, 80 clinicians

Practice addresses (Care Compare)

75 Shore Dr
Saint Helens, OR 97051-1125
Phone (206) 823-1004

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047
  • Blue Mountain Hospital Hospital, John Day, OR, CCN 381305
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325
  • Regency Hermiston Nursing & Rehab Center Nursing home, Hermiston, OR, CCN 385263
  • Curry Village Health and Rehab of Cascadia Nursing home, Brookings, OR, CCN 385165
  • Mt Angel Health and Rehabilitation Nursing home, Mount Angel, OR, CCN 385018
  • Creekside Health and Rehabilitation of Cascadia Nursing home, Eugene, OR, CCN 385147
  • Regency Redmond Rehabilitation and Nursing Center Nursing home, Redmond, OR, CCN 385230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO152484ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CRM Physicians, LLC Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Daiya Healthcare PLLC Internal Medicine CurrentSince Jul 7, 2020 Accepting new patients
Providence Health & Services Oregon Past Accepting new patients
Mark W Cheng LLC PastSince Jul 24, 2022 Accepting new patients
Boundary Street SNF LLC PastSince Aug 15, 2025 Accepting new patients
Rex Road Healthcare LLC Past Accepting new patients

Locations

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008

1735 Adkins St
Eugene, OR 97401
Phone (541) 683-5032

5905 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 665-1151

650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588

1675 SW Marlow Ave
Ste 202
Portland, OR 97225

10435 SE Cora St
Portland, OR 97266
Phone (503) 760-1737

75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avamere Rehabilitation of Junction CityJunction City, OR, CCN 385229 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2020
Aug 1, 2020
Avamere Rehabilitation of ClackamasGladstone, OR, CCN 385203 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2020
Aug 1, 2020
Avamere Rehabilitation of Oregon CityOregon City, OR, CCN 385125 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2020
Aug 1, 2020
Dallas Retirement Village Health CenterDallas, OR, CCN 385207 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2020
Aug 1, 2020
Secora Rehabilitation of CascadiaPortland, OR, CCN 385264 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2020
Feb 12, 2025
Valley West Health Care CenterEugene, OR, CCN 385120 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 9, 2023
Feb 28, 2025
Curry Village Health and Rehabilitation of CascadiaBrookings, OR, CCN 385165 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Creekside Health and Rehabilitation of CascadiaEugene, OR, CCN 385147 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2023
Oct 17, 2025
Fairlawn Health and Rehabilitation of CascadiaGresham, OR, CCN 385133 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2024
Feb 26, 2025
Robison Jewish Health CenterPortland, OR, CCN 385145 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
Aug 15, 2025

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 9

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1912101338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 INTERNATIONAL WAY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974776013",
            "telephone_number": "458-544-0400",
            "fax_number": "541-255-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 INTERNATIONAL WAY",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974776013",
            "telephone_number": "458-544-0400",
            "fax_number": "541-255-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLODY",
        "first_name": "NITA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO152484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.