NPIMap

Individual provider Active NPI

Leyen Q Vu, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Corvallis, OR
National Provider Identifier
1285886366
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
DO215124 Issued in OR
Practice address
845 SW 30TH St
Corvallis, OR 97331-8629
Phone
(541) 768-7700
NPI assigned
Oct 21, 2008
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X DO215124 OR Primary
Family Medicine Physician 207Q00000X OL60019526 WA

Addresses

Primary practice location

845 SW 30TH St
Corvallis, OR 97331-8629

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

3901 Capital Mall Dr SW
Ste C
Olympia, WA 98502-8654
Phone (360) 709-6223

Other identifiers 1

IdentifierTypeStateIssuer
2017774MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lvu264324@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
I20230606003429 OR Practitioner - Sports Medicine 9739346289 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Practice addresses (Care Compare)

325 Park St
Lebanon, OR 97355-4229
Phone (541) 451-7200

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

400 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6388

675 N 5TH St
Lebanon, OR 97355-2875
Phone (541) 451-6282

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
85.78
Promoting interoperability
100
Improvement activities
40
Cost
78.31

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

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OL60019526WAMDFamily Medicine Physician
DO215124ORMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Corvallis CurrentSince Jun 12, 2023 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Jun 12, 2023 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Jun 12, 2023 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Jun 12, 2023 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
University Primary Care Sports Med Sports Medicine Past Accepting new patients

Locations

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

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

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

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

Organizations & group practices 7

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.

Hospital & facility affiliations 66

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

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1285886366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SW 30TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973318629",
            "telephone_number": "541-768-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Capital Mall Dr SW",
            "address_2": "STE C",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028654",
            "country_code": "US",
            "telephone_number": "360-709-6223",
            "fax_number": "360-359-4724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "LEYEN",
        "middle_name": "Q",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OR",
            "license": "DO215124",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OL60019526",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017774",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lvu264324@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "845 SW 30th St",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973318629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.