Active NPI
Angela Gibbs, MD
- Internal Medicine Physician
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD182990
- Practice address
- 25050 S.E. Stark St., Suite 250
Building 4, Legacy Mount Hood Medical Center Campus
Gresham, OR 97030 - Phone
- (503) 413-5702
- NPI assigned
- Jun 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD182990 | OR | Primary |
Addresses
Primary practice location
25050 S.E. Stark St., Suite 250
Building 4, Legacy Mount Hood Medical Center Campus
Gresham, OR 97030
Mailing address
25050 S.E. Stark St., Suite 250
Building 4, Legacy Mount Hood Medical Center Campus
Gresham, OR 97030
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
- Internal Medicine
- Education
- University of Washington School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711
300 N Graham St
Suite 320
Portland, OR 97227-1665
Phone (503) 413-5702
Hospital & facility affiliations
- Legacy Mount Hood Medical Center
- Legacy Emanuel Medical Center
- Legacy Good Samaritan Medical Center
- Legacy Meridian Park Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.34 of 100
- Quality
- 92.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Legacy Mount Hood Medical Center | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Vibra Physicians LLC | Current | Accepting new patients | |
| Legacy Mount Hood Medical Center | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Legacy Clinics LLC | Internal Medicine | Current | Accepting new patients |
| Pacific Heart Associates, P.C. | Past | Accepting new patients |
Locations
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
25050 SE Stark St
Ste 250
Gresham, OR 97030
Phone (503) 413-2005
25050 SE Stark St
Gresham, OR 97030
Phone (503) 413-5702
2222 NW Lovejoy St
Ste 411
Portland, OR 97210
Phone (503) 413-5702
10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
300 N Graham St
Ste 320
Portland, OR 97227
Phone (503) 281-0448
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
Interoperability endpoints
- agibbs891064@direct.lhs.org
Organizations & group practices 15
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 Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- Clinic/Center
- Gresham, OR
- NPI 1386919132
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- Psychiatric Hospital Unit
- Portland, OR
- NPI 1003822487
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
- Hospitalist Physician
- Tualatin, OR
- NPI 1023305034
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1487034484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25050 S.E. STARK ST., SUITE 250",
"address_2": "BUILDING 4, LEGACY MOUNT HOOD MEDICAL CENTER CAMPUS",
"city": "GRESHAM",
"state": "OR",
"postal_code": "97030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25050 S.E. STARK ST., SUITE 250",
"address_2": "BUILDING 4, LEGACY MOUNT HOOD MEDICAL CENTER CAMPUS",
"city": "GRESHAM",
"state": "OR",
"postal_code": "97030",
"telephone_number": "503-413-5702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "ANGELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-04",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD182990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.