Active NPI
Kristina Leigh Leinwand, D.O.
- Pediatric Gastroenterology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- DO181968
- Practice address
- 3550 N Interstate Ave
Portland, OR 97227-1196 - Phone
- (503) 280-2898
- NPI assigned
- May 17, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DR.0053783 | CO | |
| Pediatric Gastroenterology Physician | 2080P0206X | DO181968 | OR | Primary |
| Pediatric Gastroenterology Physician | 2080P0206X | OP60744245 | WA |
Addresses
Primary practice location
3550 N Interstate Ave
Portland, OR 97227-1196
Mailing address
3550 N Interstate Ave
Portland, OR 97227-1196
Phone (503) 280-2898
Other practice location 1
707 SW Gaines St
Portland, OR 97239-2901
Phone (503) 494-2332
Other names 1
- Kristina Leigh Husman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
3500 N Interstate Ave
Portland, OR 97227-1196
Phone (800) 813-2000
3550 N Interstate Ave
Portland, OR 97227-1196
Phone (800) 813-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO181968 | OR | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Pediatrics | Current | Accepting new patients |
| University Professional Services | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Pediatrics | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Pediatrics | Current | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
3550 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321
707 SW Gaines St
Portland, OR 97239
Phone (503) 492-2709
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- kleinwand102780@direct.ohsu.edu
Organizations & group practices 7
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
- Portland, OR
- NPI 1184786527
Pediatrics, WA
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
- General Practice Physician
- Portland, OR
- NPI 1306192455
Pediatrics
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
Pediatrics
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1073767588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760775225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 N INTERSTATE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271196",
"telephone_number": "503-280-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 N INTERSTATE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271196",
"telephone_number": "503-280-2898"
}
],
"practiceLocations": [
{
"address_1": "707 SW Gaines St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972392901",
"country_code": "US",
"telephone_number": "503-494-2332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEINWAND",
"first_name": "KRISTINA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0053783",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "OR",
"license": "DO181968",
"primary": true
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "WA",
"license": "OP60744245",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "HUSMAN",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.