Individual provider

Maya Modzelewska, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician Physical Medicine & Rehabilitation Physician Medicare enrolled

Maya Modzelewska, M.D. is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Salem, OR, registered under NPI 1790074490. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1100 22ND ST SE, Salem, OR 97302. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1100 22ND ST SE, Salem, OR 97302 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD181084 OR Pain Medicine (Physical Medicine &… primary
MD181084 OR Physical Medicine & Rehabilitation…

This provider holds licence MD181084 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physical Medicine And Rehabilitation
PAC ID
5496038341

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Oregon I20170220001344 Practitioner - Physical Medicine And Rehabilitation
Hawaii I20230921002344 Practitioner - Physical Medicine And Rehabilitation

Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Medicine And Rehabilitation. There are 2 separate enrolment records across 2 states (OR, HI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pain Medicine covers

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. NUCC Health Care Provider Taxonomy, code 2081P2900X
Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Pain Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine MD181084 OR primary
208100000X Physical Medicine & Rehabilitation Physician MD181084 OR

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1790074490 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 4, 2011
Last updatedMay 8, 2023
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1100 22ND ST SE
Salem, OR 97302
(585) 275-3274
Fax (585) 442-2949
The last update on file is May 8, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1790074490 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 9 0 0 7 4 4 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 9 0 0 7 8 4 9

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1790074490?
NPI 1790074490 is the National Provider Identifier assigned to Maya Modzelewska, M.D. in Salem, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pain Medicine cover?
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
How do I contact Maya Modzelewska, M.D.?
The phone number on file with NPPES is (585) 275-3274, last updated May 8, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Maya Modzelewska, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1790074490 a valid number?
Yes. 1790074490 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.