Individual provider Active NPI

Angela Gibbs, MD

  • Internal Medicine Physician
  • Gresham, OR
National Provider Identifier
1487034484
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD182990 Issued in OR
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

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170818002042 OR Practitioner - Internal Medicine 1951614304 Reassigns benefits to 7 organizations

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
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Feb 15, 2022 Accepting new patients
Legacy Clinics LLC CurrentSince Feb 15, 2022 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Feb 15, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Feb 15, 2022 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Feb 15, 2022 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Feb 15, 2022 Accepting new patients
Silverton Health CurrentSince Feb 15, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Feb 15, 2022 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Feb 15, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Vibra Physicians LLC CurrentSince Aug 1, 2017 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Feb 15, 2022 Accepting new patients
Silverton Health CurrentSince Feb 15, 2022 Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Feb 15, 2022 Accepting new patients
Pacific Heart Associates, P.C. PastSince Feb 15, 2022 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

  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.