JOSE NOVOA (M.D.) – Diagnostic Radiology Physician, NPI 1417908757

JOSE NOVOA (M.D.) is a healthcare provider. based in Salem, Oregon. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 21210 (OR). The NPI Number for JOSE NOVOA (M.D.) is 1417908757

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JOSE NOVOA (M.D.)
NPI
1417908757
Phone
(503) 399-1264
Address
2925 RYAN DR SE
Enumeration Date
12 May 2006
Last Update Date
9 May 2008

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5038260206
Graduation Year
1992 (34 years ago)
PAC ID
6002897790
Group Practice PAC ID
3577923499
Professional Enrollment ID
I20040527001213
Address ID
OR970557371SA36860WAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

532 DIAGNOSTIC RADIOLOGY in OR

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Provider Addresses for JOSE NOVOA (M.D.)

  • 2925, Ryan Drive Southeast, Salem, Marion County, Oregon, 97301, United States

    SALEM, OR 973019687

    Phone: (503) 399-1264

    Fax: (503) 371-0777

    Mailing address matches the actual address.

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: 2004-05-27

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
I20040527001213IDiagnostic RadiologyORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml3,57032$0
A9585Injection, gadobutrol, 0.1 ml66822$0
71045X-ray of chest, 1 view249217$0
71046X-ray of chest, 2 views246240$0
70450Ct scan head or brain without contrast186179$0
View full utilization report →

Insurance plans in this area (ZIP 97301)

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Provider's Procedures

JOSE NOVOA (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOR71010X-ray of chest, 1 view, front602422
DIAGNOSTIC RADIOLOGYOR71250CT scan chest1414
DIAGNOSTIC RADIOLOGYOR73562X-ray of knee, 3 views2624
DIAGNOSTIC RADIOLOGYOR74177CT scan of abdomen and pelvis with contrast121120

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: 3577923499View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyAZ
Diagnostic RadiologyOR
Diagnostic RadiologyUT
Diagnostic RadiologyOR
Diagnostic RadiologyIN
Diagnostic RadiologyOR
Diagnostic RadiologyNV
Diagnostic RadiologyOR

Reviews

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Frequently asked questions

How is JOSE NOVOA (M.D.) identified in CMS data?
CMS-hosted NPPES data lists JOSE NOVOA (M.D.) with NPI 1417908757.
Does the file indicate JOSE NOVOA (M.D.) is practicing under active NPI?
Directory data currently reports JOSE NOVOA (M.D.) as active.
What is JOSE NOVOA (M.D.)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for JOSE NOVOA (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is JOSE NOVOA (M.D.) based?
JOSE NOVOA (M.D.) is tied to Salem, Oregon in the data we show; additional addresses may exist on the full record.
Why does JOSE NOVOA (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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