CHARLES ANTHONY SALTALAMACCHIA (M.D.) – Obstetrics & Gynecology Physician, NPI 1336431881

CHARLES ANTHONY SALTALAMACCHIA (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. MD173335 (OR). The NPI Number for CHARLES ANTHONY SALTALAMACCHIA (M.D.) is 1336431881

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES ANTHONY SALTALAMACCHIA (M.D.)
NPI
1336431881
Phone
(503) 216-2602
Address
9427 SW Barnes Rd
Enumeration Date
3 May 2011
Last Update Date
20 October 2020

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2011 (15 years ago)
PAC ID
4688811219
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20150831003143
Address ID
OR972256603PO9205XRDXX400
Telehealth
Yes

Contacts

Secure Messaging
csaltalamacchia193360@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

632 OBSTETRICS/GYNECOLOGY in OR

Provider Addresses for CHARLES ANTHONY SALTALAMACCHIA (M.D.)

  • 9427 SW Barnes Rd

    SUITE 395

    Portland, OR 972256652

    Phone: (503) 216-2602

    Type: Location

  • 1115 SE 164TH AVE DEPT 358

    VANCOUVER, WA 986838004

    Phone: (360) 729-1253

    Fax: (360) 729-3185

    Type: Mailing

  • 340 9TH ST

    FLORENCE, OR 974399470

    Phone: (541) 902-1634

    Fax: (541) 902-9702

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150831003143IObstetrics/GynecologyORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 97225)

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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: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

What federal number belongs to CHARLES ANTHONY SALTALAMACCHIA (M.D.)?
The federal identifier for CHARLES ANTHONY SALTALAMACCHIA (M.D.) is NPI 1336431881.
Is CHARLES ANTHONY SALTALAMACCHIA (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does CHARLES ANTHONY SALTALAMACCHIA (M.D.) treat or focus on?
Patients typically see CHARLES ANTHONY SALTALAMACCHIA (M.D.) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does CHARLES ANTHONY SALTALAMACCHIA (M.D.) practice in Oregon?
You will see Portland, Oregon on file for CHARLES ANTHONY SALTALAMACCHIA (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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