Active NPI
Shashi K Srinivasan, MD
- Dermatology Physician
- Salem, OR
National Provider Identifier
1992755813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD26977
- Practice address
- 2441 Grear St NE
Salem, OR 97301-2749 - Phone
- (503) 588-0469
- Fax
- (402) 559-9840
- NPI assigned
- May 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21603 | NE | |
| Dermatology Physician | 207N00000X | MD26977 | NE | Primary |
Addresses
Primary practice location
2441 Grear St NE
Salem, OR 97301-2749
Mailing address
2441 Grear St NE
Salem, OR 97301-2749
Phone (503) 588-0469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47078557521 | Medicaid | NE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2441 Grear St NE
Salem, OR 97301-2749
Phone (503) 364-3321
2441 Grear St Northeast
Salem, OR 97301-2749
Hospital & facility affiliations
- Samaritan North Lincoln Hospital
- Salem Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 58 |
| Removal of skin lesions | 1448 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 416 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26977 | NE | MD | Dermatology Physician |
| 21303 | NE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Clinic PC | Dermatology | Current | Accepting new patients |
| Braddock Finnegan Helget Dermatology, P.C. | Past | Accepting new patients |
Locations
5900 Inland Shores Way N
Ste 202
Keizer, OR 97303
Phone (503) 463-6799
3015 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-5591
2441 Grear St NE
Salem, OR 97301
Phone (503) 364-3321
Organizations & group practices 2
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.
-
- Dermatology Physician
- Salem, OR
- NPI 1831150846
-
- Specialist
- Omaha, NE
- NPI 1609813948
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Lincoln City, OR
- NPI 1306897491
-
- Hematology & Oncology Physician
- Lincoln City, OR
- NPI 1629338868
Hospital
-
- Cardiovascular Disease Physician
- Lincoln City, OR
- NPI 1841554177
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1992755813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 GREAR ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012749",
"telephone_number": "503-588-0469",
"fax_number": "402-559-9840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 GREAR ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012749",
"telephone_number": "503-588-0469",
"fax_number": "402-559-9840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRINIVASAN",
"first_name": "SHASHI",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "21603",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NE",
"license": "MD26977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47078557521",
"state": "NE"
}
],
"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 Sep 11, 2025; 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.