Wvp Medical Group, LLC
NPI 1124352877 · Primary Care Clinic/Center · Salem, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wvp Medical Group, LLC is a Primary Care Clinic/Center organization in Salem, OR (NPI 1124352877).
Provider details
- NPI number
- 1124352877
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Mid Valley Ipa Inc. (wvp Health Authority)
- Organization subpart
- Yes
- Authorized official
- Dean Andretta, Cfo(503) 371-7701
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2525 12th St Se, Ste 260Salem, OR 97302-2153Phone: (503) 363-6520Fax: (503) 967-1472
Registry dates
- Enumerated
- 2009-09-29
- Last updated
- 2018-04-19
Frequently asked questions
- What is Wvp Medical Group, LLC's NPI number?
- Wvp Medical Group, LLC's National Provider Identifier (NPI) is 1124352877, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wvp Medical Group, LLC?
- Wvp Medical Group, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Wvp Medical Group, LLC located?
- Wvp Medical Group, LLC's practice location on file with NPPES is 2485 12th St Se, Salem, OR 97302-2151.
- What is Wvp Medical Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wvp Medical Group, LLC is (503) 363-8047.
- Does Wvp Medical Group, LLC accept Medicare?
- Wvp Medical Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wvp Medical Group, LLC?
- The authorized official listed on Wvp Medical Group, LLC's NPPES record is Dean Andretta, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wvp Medical Group, LLC's NPI active?
- Yes — Wvp Medical Group, LLC's NPI (1124352877) is active in the NPPES registry as of the last update on 2018-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.