Community Cancer Center – Radiation Oncology Physician, NPI 1457351991

Community Cancer Center is a healthcare provider. based in Roseburg, Oregon. specializing in Radiation Oncology Physician. The NPI Number for Community Cancer Center is 1457351991

Main info

Organization
Name
Community Cancer Center
NPI
1457351991
Phone
(541) 673-2267
Address
2880 NW STEWART PKWY
Authorized Official
MR. TAMMY HAGEDORN EXECUTIVE DIRECTOR
Enumeration Date
27 July 2005
Last Update Date
3 February 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Community Cancer Center

  • 2880, Northwest Stewart Parkway, Roseburg, Douglas County, Oregon, 97471, United States

    SUITE 100

    ROSEBURG, OR 974711201

    Phone: (541) 673-2267

    Fax: (541) 672-9483

    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: 2008-06-25

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
O20080625000338ORadiation Therapy CenterORTBD

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 97471)

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Reviews

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Frequently asked questions

How do payers reference Community Cancer Center?
For Community Cancer Center, use NPI 1457351991 as the unique 10-digit identifier.
Is Community Cancer Center still an active registrant?
Community Cancer Center carries an active NPI according to the public dataset.
What expertise is attributed to Community Cancer Center?
Community Cancer Center's specialty line reads Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where in Oregon is Community Cancer Center registered?
Use Roseburg, Oregon as the headline location for Community Cancer Center here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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