Active NPI
Judd Thomas Salamat, D.O.
- Interventional Cardiology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- DO202983
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Adventist Health Portland
- Mid-Columbia Medical Center
- Willamette Valley Medical Center
- Ohsu Hospital and Clinics
- Klickitat Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 60 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3152 | TN | MD | Mental Health Counselor |
| 25MB09228000 | NJ | MD | Cardiovascular Disease Physician |
| DO202983 | OR | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Adventist Medical Center | Cardiovascular Disease | Current | Accepting new patients |
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | 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 | Current | Accepting new patients |
| Public Hospital District No 2, Klickitat County Washington | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Public Hospital District No 2, Klickitat County, Washington | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Portland Adventist Medical Center | Past | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Past | 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
- jsalamat134639@direct.ohsu.edu
- 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.
-
dba Adventist Health Columbia Gorge
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
dba Adventist Health Medical Group
- Family Medicine Physician
- Portland, OR
- NPI 1750091021
Cardiovascular Disease
-
dba Adventist Health Portland
- Family Medicine Physician
- Portland, OR
- NPI 1215910302
Cardiovascular Disease
-
dba Skyline Hospital
- Critical Access Hospital
- White Salmon, WA
- NPI 1952483653
-
dba Skyline Hospital
- Critical Access Hospital
- White Salmon, WA
- NPI 1760455687
-
- Emergency Medicine Physician
- The Dalles, OR
- NPI 1497797856
-
dba Adventist Health Columbia Gorge
- Multi-Specialty Clinic/Center
- Hood River, OR
- NPI 1568979680
-
dba Adventist Health Portland
- Emergency Medical Services (Emergency Medicine) Physician
- Portland, OR
- NPI 1316502719
-
dba Adventist Health Medical Group
- Anesthesiology Physician
- Portland, OR
- NPI 1437925310
-
dba Skyline Medical Clinic
- Rural Health Clinic/Center
- White Salmon, WA
- NPI 1467961250
-
dba Adventist Health Columbia Gorge
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1154351336
-
dba Adventist Health Columbia Gorge
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1407887052
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Columbia Gorge
- Critical Access Hospital Clinic/Center
- The Dalles, OR
- NPI 1306842752
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
dba Adventist Health Portland
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
-
dba Willamette Valley Medical Center
- General Acute Care Hospital
- McMinnville, OR
- NPI 1346269982
-
dba Klickitat Valley Health
- Critical Access Hospital
- Goldendale, WA
- NPI 1386689487
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.