Individual provider Active NPI

Rebecca Leigh Wang Smiley, MD

  • Emergency Medicine Physician
  • Gresham, OR
National Provider Identifier
1679033047
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD232051 Issued in OR
Practice address
2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Phone
(503) 666-5050
NPI assigned
Mar 22, 2019
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T5461 TX
Emergency Medicine Physician 207P00000X MD232051 OR Primary

Addresses

Primary practice location

2850 SE Powell Valley Rd
Gresham, OR 97080-1494

Mailing address

629 19TH CT S
Birmingham, AL 35205-6405
Phone (618) 201-3876

Other practice location 1

1500 S Main St
Fort Worth, TX 76104-4941
Phone (817) 702-8840

Other practice location 2

629 19th Ct S
Birmingham, AL 35205-6405
Phone (618) 201-3876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230407000316 FL Practitioner - Emergency Medicine 0941675888 Reassigns benefits to 1 organization
I20230412002304 TX Practitioner - Emergency Medicine 0941675888 Reassigns benefits to 1 organization
I20241003001875 CA Practitioner - Emergency Medicine 0941675888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Michigan Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tele911 California Emergency Medical Group IncGroup PAC ID 7214339498, 17 clinicians
Tele911 Texas Emergency Medical Group PLLCGroup PAC ID 6103217831, 14 clinicians

Practice addresses (Care Compare)

13950 Milton Ave
Suite 400H
Westminster, CA 92683-2939
Phone (888) 777-9055

155 N Lake Ave
Suite 800
Pasadena, CA 91101-1857

325 N Saint Paul St
Suite 3100
Dallas, TX 75201-3923
Phone (888) 777-9055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD232051ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tele911 Florida Emergency Medical Group, P.a. Emergency Medicine CurrentSince Feb 9, 2023 Accepting new patients
Tele911 Texas Emergency Medical Group PLLC Emergency Medicine CurrentSince Feb 18, 2023 Accepting new patients
Legacy Clinics LLC PastSince Sep 21, 2026 Accepting new patients

Locations

155 N Lake Ave
Ste 800
Pasadena, CA 91101
Phone (254) 835-3911

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

Interoperability endpoints

  • Direct secure messaging: rsmiley812402@direct.sw.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1679033047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 19TH CT S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352056405",
            "telephone_number": "618-201-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SE POWELL VALLEY RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970801494",
            "telephone_number": "503-666-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044941",
            "country_code": "US",
            "telephone_number": "817-702-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "629 19th Ct S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352056405",
            "country_code": "US",
            "telephone_number": "618-201-3876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "REBECCA",
        "middle_name": "LEIGH WANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T5461",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD232051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.