DR. STANLEY J. NUDELMAN (M.D.) – Internal Medicine Physician, NPI 1003843871

DR. STANLEY J. NUDELMAN (M.D.) is a healthcare provider. based in Corvallis, Oregon. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD17417 (OR). The NPI Number for DR. STANLEY J. NUDELMAN (M.D.) is 1003843871

Main info

Male
63 Years Of Experience
Accepts Medicare Assignment
Name
DR. STANLEY J. NUDELMAN (M.D.)
NPI
1003843871
Phone
Not provided
Address
PO BOX 1189
Enumeration Date
27 June 2006
Last Update Date
6 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5417685111
Graduation Year
1963 (63 years ago)
PAC ID
4183601156
Group Practice PAC ID
1557270725
Professional Enrollment ID
I20040707000945

Contacts

Secure Messaging
snudelman3493@samhealth.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. STANLEY J. NUDELMAN (M.D.)

  • Corvallis Post Office, Southwest Jefferson Avenue, Corvallis, Benton County, Oregon, 97331, United States

    CORVALLIS, OR 973391189

    Phone:

    Type: Mailing

  • 3521, Northwest Samaritan Drive, Corvallis, Benton County, Oregon, 97330, United States

    SUITE 201

    CORVALLIS, OR 973304744

    Phone: (541) 768-5140

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97339)

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Provider's Procedures

DR. STANLEY J. NUDELMAN (M.D.) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOR93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557270725View full group profile
NameSpecialtyState
Internal MedicineOR
Rheumatology, Internal MedicineOR
Physical Therapist In Private PracticeMT
Nurse PractitionerOR
Physician AssistantOR
-OR
-OR
A N E S T H E S I O L O G YOR
G A S T R O E N T E R O L O G YOR
Occupational Therapist In Private PracticeOR

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Frequently asked questions

Is there an official ID for DR. STANLEY J. NUDELMAN (M.D.) in U.S. healthcare records?
The official identifier for DR. STANLEY J. NUDELMAN (M.D.) is NPI 1003843871.
Would DR. STANLEY J. NUDELMAN (M.D.) appear as active to a payer?
You can treat DR. STANLEY J. NUDELMAN (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. STANLEY J. NUDELMAN (M.D.)?
DR. STANLEY J. NUDELMAN (M.D.)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. STANLEY J. NUDELMAN (M.D.)?
Travel planning: use Corvallis, Oregon as the reference point for DR. STANLEY J. NUDELMAN (M.D.), then confirm.
When was this NPI issued?
Enumeration for DR. STANLEY J. NUDELMAN (M.D.) is noted as June 27, 2006 where the registry provides it.

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