Individual provider Active NPI

Victor Leen, MD

  • Diagnostic Radiology Physician
  • Silverdale, WA
National Provider Identifier
1366589236
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00031839 Issued in WA
Practice address
1780 NW Myhre Rd
Suite 1220
Silverdale, WA 98383-8676
Phone
(360) 337-6500
Fax
(360) 337-6523
NPI assigned
Jan 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD00031839 WA Primary

Addresses

Primary practice location

1780 NW Myhre Rd
Suite 1220
Silverdale, WA 98383-8676

Mailing address

1780 NW Myhre Rd
Suite 1220
Silverdale, WA 98383-8676
Phone (360) 337-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20090713000186 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1951488964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Warren Alpert Medical School of Brown University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympic Medical Imaging Consultants, PLLCGroup PAC ID 8820984552, 17 clinicians

Practice addresses (Care Compare)

1780 NW Myhre Rd
Suite 1220
Silverdale, WA 98383-8676
Phone (360) 337-6500

1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (800) 841-4236

22180 Olympic College Way NW
Suite 101
Poulsbo, WA 98370-6664
Phone (360) 337-6500

2530 Cherry Ave
Bremerton, WA 98310-4258
Phone (360) 337-6500

450 S Kitsap Blvd
Suite 110
Port Orchard, WA 98366-3709
Phone (800) 841-4236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.76 of 100Reported as group
Quality
90
Improvement activities
40
Cost
47.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025209WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Medical Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Aug 1, 1994 Accepting new patients

Locations

21 NE Romance Hill Rd
Belfair, WA 98528
Phone (360) 277-2950

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

2700 Clare Ave
Bremerton, WA 98310
Phone (360) 479-6555

450 S Kitsap Blvd
Ste 110
Port Orchard, WA 98366
Phone (360) 337-6500

1780 NW Myhre Rd
Ste 1220
Silverdale, WA 98383
Phone (360) 337-6500

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

2916 NW Bucklin Hill Rd
Silverdale, WA 98383
Phone (360) 813-6021

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366589236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 NW MYHRE RD",
            "address_2": "SUITE 1220",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838676",
            "telephone_number": "360-337-6500",
            "fax_number": "360-337-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NW MYHRE RD",
            "address_2": "SUITE 1220",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838676",
            "telephone_number": "360-337-6500",
            "fax_number": "360-337-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEN",
        "first_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00031839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.