DR. NIELS FREDERIK PEDERSEN MD NPI 1740251537

NPI Information

  • NPI: 1740251537
  • Provider Name: DR. NIELS FREDERIK PEDERSEN, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2020 CAPITOL ST NE
    SALEM CLINIC PC
    SALEM, OR
    ZIP 97301
  • Phone: (503) 399-2424

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NPI Details

DR. Niels Frederik Pedersen, MD is a family medicine in Salem, OR with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Niels Frederik Pedersen, MD NPI is 1740251537. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

2020 CAPITOL ST NE
SALEM CLINIC PC
SALEM, OR
ZIP 97301-644
Phone: (503) 399-2424
Fax: (503) 375-7451

The NPI 1740251537 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ldl cholesterol level (HCPCS:83721)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Hemoglobin a1c level (HCPCS:83036)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Uric acid level, blood (HCPCS:84550)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Automated urinalysis test (HCPCS:81003)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Bacterial colony count, urine (HCPCS:87086)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 1/30/2006 and was last updated on 8/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineL1163TEXASNo
2207Q00000XFamily MedicineMD26800OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1141304903MEDICAIDTEXAS
2240514MEDICAIDOREGON
31228590005MEDICARE NSCOREGON
48A0594MEDICARE ID-TYPE UNSPECIFIED
5R134993MEDICARE PINOREGON
6H27143MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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