NPIMap

Individual provider Active NPI

Victor Joseph Leonardo, MD

  • Diagnostic Radiology Physician
  • Salem, OR
National Provider Identifier
1154488021
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD17885 Issued in OR
Practice address
698 12TH St SE Ste 145
Salem, OR 97301
Phone
(503) 588-2674
Fax
(503) 391-1200
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD17885 OR Primary

Addresses

Primary practice location

698 12TH St SE Ste 145
Salem, OR 97301

Mailing address

PO Box 2847
Corvallis, OR 97339-2847

Other practice location 1

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Other identifiers 1

IdentifierTypeStateIssuer
082685MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vleonardo7177@samhealth.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331001242 OR Practitioner - Diagnostic Radiology 8022000991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corvallis Radiology PCGroup PAC ID 2062300676, 54 clinicians

Practice addresses (Care Compare)

1046 6TH Ave SW
Albany, OR 97321-1916
Phone (541) 758-5047

1700 Geary St SE
Suite 400
Albany, OR 97322-6842
Phone (541) 812-5655

3043 NE 28TH St
Lincoln City, OR 97367-4518
Phone (541) 994-3661

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 758-5047

3615 NW Samaritan Dr
Suite 101
Corvallis, OR 97330-3756
Phone (541) 768-5187

3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 758-5047

505 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 451-6950

5234 SW Philomath Blvd
Corvallis, OR 97333-1042
Phone (541) 768-7300

525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101

845 SW 30TH St
Corvallis, OR 97331-8629
Phone (541) 768-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
85.3
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17885ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pacific Health Services, Inc CurrentSince Jan 20, 2020 Accepting new patients
Corvallis Radiology PC Diagnostic Radiology CurrentSince Jan 20, 2020 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Mission Medical Imaging Diagnostic Radiology Past Accepting new patients
Larsen Sanchez Psychology, LLC Past Accepting new patients

Locations

777 NW 9th St
Ste 210C
Corvallis, OR 97330
Phone (541) 452-8002

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

Organizations & group practices 6

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

Hospital & facility affiliations 74

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1154488021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2847",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973392847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 12TH ST SE STE 145",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-588-2674",
            "fax_number": "503-391-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 SW Abbey St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-265-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARDO",
        "first_name": "VICTOR",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-02-16",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD17885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082685",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vleonardo7177@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.