NPIMap

Individual provider Active NPI

Nathan M Ruden, MD

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1982866679
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD187005 Issued in OR
Practice address
1940 S 1100 E
Salt Lake City, UT 84106-2317
Phone
(801) 448-2094
Fax
(801) 657-4662
NPI assigned
Jun 25, 2008
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD187005 OR Primary
Family Medicine Physician 207Q00000X 73767701205 UT

Addresses

Primary practice location

1940 S 1100 E
Salt Lake City, UT 84106-2317

Mailing address

2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 435-4514

Other identifiers 1

IdentifierTypeStateIssuer
1982866679MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100205000261 UT Practitioner - Family Practice 7315080884 Reassigns benefits to 1 organization
I20180510001149 OR Practitioner - Family Practice 7315080884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willamette Valley Clinics LLCGroup PAC ID 6103729314, 39 clinicians

Practice addresses (Care Compare)

254 NE Norton LN
McMinnville, OR 97128-8470

2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128-6258
Phone (503) 434-1110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73767701205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nate Ruden MD LLC Single Specialty CurrentSince Jun 15, 2011 Accepting new patients
Utah Regional Hospitalists LLC Single Specialty CurrentSince Feb 23, 2015 Accepting new patients
Willamette Valley Clinics LLC Single Specialty CurrentSince Jun 1, 2018 Accepting new patients
Utah Regional Hospitalists LLC Single Specialty CurrentSince Feb 23, 2015 Accepting new patients
Sunnyside Operations LLC PastSince Jun 1, 2023 Accepting new patients

Locations

254 NE Norton Ln
McMinnville, OR 97128
Phone (503) 472-6161

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

2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565

2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110

1940 S 1100 E
Salt Lake City, UT 84106
Phone (801) 448-2094

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

165 S 1000 E
Slc, UT 84102
Phone (801) 322-5521

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Interoperability endpoints

  • Direct secure messaging: nathan.ruden.1@1814.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Life Care Center of McMinnvilleMcMinnville, OR, CCN 385171 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2020
May 1, 2026
Avamere Court at KeizerKeizer, OR, CCN 385233 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2023
Jun 1, 2023
Avamere Transitional Care at SunnysideSalem, OR, CCN 385189 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2023
Jun 1, 2023
Village at HillsideMcMinnville, OR, CCN 385269 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2023
Sep 1, 2023
Rivers Edge Rehabilitation and CareSheridan, OR, CCN 385275 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Salem Transitional CareSalem, OR, CCN 385234 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 2025
Nov 21, 2025

Owned or controlled facilities with NPI records 6

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1982866679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SE STRATUS AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286255",
            "telephone_number": "503-435-4514",
            "fax_number": "503-472-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062317",
            "telephone_number": "801-448-2094",
            "fax_number": "801-657-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEN",
        "first_name": "NATHAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD187005",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "73767701205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982866679",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.