Individual provider Active NPI

Judd Thomas Salamat, D.O.

  • Interventional Cardiology Physician
  • Portland, OR
National Provider Identifier
1912139411
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
DO202983 Issued in OR
Practice address
10000 SE Main St Ste 60
Portland, OR 97216-2474
Phone
(503) 257-0959
Fax
(503) 256-7757
NPI assigned
Aug 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS016108 PA
Cardiovascular Disease Physician 207RC0000X 25MB09228000 NJ
Interventional Cardiology Physician 207RI0011X 3152 TN
Interventional Cardiology Physician 207RI0011X 0102204734 VA
Interventional Cardiology Physician 207RI0011X DO202983 OR Primary

Addresses

Primary practice location

10000 SE Main St Ste 60
Portland, OR 97216-2474

Mailing address

10000 SE Main St Ste 60
Portland, OR 97216-2474
Phone (503) 257-0959

Other practice location 1

2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone (423) 230-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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
I20210526002919 OR Practitioner - Interventional Cardiology 5991941155 Reassigns benefits to 3 organizations
I20220117000118 WA Practitioner - Interventional Cardiology 5991941155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians
Mid-Columbia Medical CenterGroup PAC ID 3779487251, 99 clinicians

Practice addresses (Care Compare)

10000 SE Main St
Suite 60
Portland, OR 97216-2474
Phone (503) 257-0959

PO Box
The Dalles, OR 97058

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting60
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3152TNMDMental Health Counselor
25MB09228000NJMDCardiovascular Disease Physician
DO202983ORMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center Cardiovascular Disease CurrentSince Jul 8, 2023 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 8, 2023 Accepting new patients
Portland Adventist Medical Center CurrentSince May 17, 2021 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington Current Accepting new patients
Portland Adventist Medical Center Cardiovascular Disease CurrentSince May 17, 2021 Accepting new patients
Public Hospital District No 2, Klickitat County Washington CurrentSince Apr 19, 2022 Accepting new patients
Mid-Columbia Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Public Hospital District No 2, Klickitat County, Washington CurrentSince Apr 19, 2022 Accepting new patients
Mid-Columbia Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Portland Adventist Medical Center Past Accepting new patients
Wellmont Medical Associates, Inc. PastSince Sep 1, 2019 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

2700 SE Stratus Ave
Unit 406
McMinnville, OR 97128
Phone (503) 435-1200

10000 SE Main St
Ste 60A
Portland, OR 97216
Phone (503) 257-0959

10000 SE Main St
Ste 60
Portland, OR 97216
Phone (503) 257-0959

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1810 E 19th St
Ste 211
The Dalles, OR 97058
Phone (503) 292-1400

Interoperability endpoints

  • Direct secure messaging: jsalamat134639@direct.ohsu.edu
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1912139411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 60",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162474",
            "telephone_number": "503-257-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 60",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162474",
            "telephone_number": "503-257-0959",
            "fax_number": "503-256-7757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Meadowview Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376607475",
            "country_code": "US",
            "telephone_number": "423-230-5000",
            "fax_number": "423-230-5035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAMAT",
        "first_name": "JUDD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS016108",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB09228000",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "3152",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0102204734",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "DO202983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.