Active NPI
Abdul Hai Kazemy, M.D.
- Internal Medicine Physician
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD25197
- Practice address
- 1660 Oak St SE
Salem, OR 97301-6942 - Phone
- (503) 220-8262
- Fax
- (503) 316-8817
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD25197 | OR | Primary |
Addresses
Primary practice location
1660 Oak St SE
Salem, OR 97301-6942
Mailing address
1663 Water St NE
67
Salem, OR 97303-6688
Phone (503) 220-8262
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25197 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Daiya Healthcare PLLC | Internal Medicine | Current | Accepting new patients |
| Healthcare for the Mid-Columbia Region | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients |
Locations
10435 SE Cora St
Portland, OR 97266
Phone (503) 760-1737
75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713
1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151
1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201
1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251
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.
-
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
- Federally Qualified Health Center (FQHC)
- Springfield, OR
- NPI 1326138314
-
- Emergency Medicine Physician
- The Dalles, OR
- NPI 1497797856
-
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1154351336
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1477027381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962589176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1663 WATER ST NE",
"address_2": "67",
"city": "SALEM",
"state": "OR",
"postal_code": "973036688",
"telephone_number": "503-220-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 OAK ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973016942",
"telephone_number": "503-220-8262",
"fax_number": "503-316-8817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZEMY",
"first_name": "ABDUL",
"middle_name": "HAI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD25197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.