Individual provider Active NPI

John R Lebow, DO

  • Family Medicine Physician
  • Eugene, OR
National Provider Identifier
1003985029
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO21392 Issued in OR
Practice address
1755 Coburg Rd Ste 301
Eugene, OR 97401-4982
Phone
(541) 344-8225
Fax
(541) 744-7322
NPI assigned
Nov 6, 2006
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO21392 OR Primary

Addresses

Primary practice location

1755 Coburg Rd Ste 301
Eugene, OR 97401-4982

Mailing address

1755 Coburg Rd Ste 301
Eugene, OR 97401-4982
Phone (541) 344-8225

Other identifiers 1

IdentifierTypeStateIssuer
129982MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000248 OR Practitioner - Family Practice 1850376807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Homes, LLC Family Medicine CurrentSince Jan 11, 2023 Accepting new patients

Locations

1800 Centennial Blvd
Springfield, OR 97477
Phone (541) 747-4300

2280 Marcola Rd
Springfield, OR 97477
Phone (541) 747-4300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEGCAA
  • Direct secure messaging: jlebow@yourcarecommunity.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1003985029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD STE 301",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014982",
            "telephone_number": "541-344-8225",
            "fax_number": "541-744-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 COBURG RD STE 301",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014982",
            "telephone_number": "541-344-8225",
            "fax_number": "541-744-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOW",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO21392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129982",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.