DENIS PRIVALOV (MD) – Nephrology Physician, NPI 1649279035

DENIS PRIVALOV (MD) is a healthcare provider. based in Salem, Oregon. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 0101235688 (VA). The NPI Number for DENIS PRIVALOV (MD) is 1649279035

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DENIS PRIVALOV (MD)
NPI
1649279035
Phone
(503) 561-8565
Address
875 OAK ST SE STE 5070
Enumeration Date
18 July 2005
Last Update Date
24 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5035118565
Graduation Year
1990 (36 years ago)
PAC ID
6901881325
Group Practice PAC ID
0840283511
Professional Enrollment ID
I20110826000356
Address ID
OR973013998SA875XXSEXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

141 NEPHROLOGY in OR

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Provider Addresses for DENIS PRIVALOV (MD)

  • Oak Street Southeast, Salem, Marion County, Oregon, 97311, United States

    SALEM, OR 973013998

    Phone: (503) 561-8565

    Fax: (503) 561-8560

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-02-12 • Largest payer in this snapshot: Amgen Inc. ($24).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-08-26

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
I20110826000356INephrologyORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes17595$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)15435$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8129$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8139$0
90935Hemodialysis procedure with physician evaluation7140$0
View full utilization report →

Insurance plans in this area (ZIP 97301)

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Provider's Procedures

DENIS PRIVALOV (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYOR90935Hemodialysis procedure with one physician evaluation12568
NEPHROLOGYOR90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older4325

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: 0840283511View full group profile
NameSpecialtyState
Internal Medicine, NephrologyOR
N E P H R O L O G YNY
Nephrology, Internal MedicineOR
Physician AssistantOR
-OR
N E P H R O L O G YOR
Nurse PractitionerSD
N E P H R O L O G YOR
Internal Medicine, NephrologyOR
N E P H R O L O G YNY

Reviews

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Frequently asked questions

Can I verify DENIS PRIVALOV (MD) with an NPI only?
You can start verification with NPI 1649279035 for DENIS PRIVALOV (MD), then check state licensing separately.
Does the file indicate DENIS PRIVALOV (MD) is practicing under active NPI?
Directory data currently reports DENIS PRIVALOV (MD) as active.
What taxonomy line describes DENIS PRIVALOV (MD)?
For research purposes, treat DENIS PRIVALOV (MD) as Nephrology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DENIS PRIVALOV (MD) based?
DENIS PRIVALOV (MD) is tied to Salem, Oregon in the data we show; additional addresses may exist on the full record.
Is the information about DENIS PRIVALOV (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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