Active NPI
Ian M Lentz, DO
- Emergency Medicine Physician
- Sherwood, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO204584
- Practice address
- 16770 SW Edy Rd Ste 102
Sherwood, OR 97140-9679 - Phone
- (503) 216-9600
- NPI assigned
- Apr 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OR | ||
| Emergency Medicine Physician | 207P00000X | DO204584 | OR | Primary |
Addresses
Primary practice location
16770 SW Edy Rd Ste 102
Sherwood, OR 97140-9679
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ilentz748732@oc.providencedirect.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250
16770 SW Edy Rd
Suite 102
Sherwood, OR 97140-9679
Phone (503) 216-9600
5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480
Hospital & facility affiliations
- Providence Newberg Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO204584 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients |
Locations
200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500
9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050
16770 SW Edy Rd
Ste 102
Sherwood, OR 97140
Phone (503) 215-9600
960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172
12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900
Organizations & group practices 3
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.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Pediatric Endocrinology Physician
- Portland, OR
- NPI 1457759318
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1467806893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16770 SW EDY RD STE 102",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971409679",
"telephone_number": "503-216-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTZ",
"first_name": "IAN",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-21",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "DO204584",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ilentz748732@oc.providencedirect.org",
"affiliation": "N",
"address_1": "16770 SW Edy Rd Ste 102",
"city": "Sherwood",
"state": "OR",
"country_code": "US",
"postal_code": "971409679",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sherwood, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.