Active NPI
Maria C. Leiva, M.D.
- Obstetrics & Gynecology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD 25402
- Practice address
- 9555 SW Barnes Rd
Suite 100
Portland, OR 97225-6663 - Phone
- (503) 292-3577
- Fax
- (503) 691-3615
- NPI assigned
- Nov 10, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD 25402 | OR | Primary |
Addresses
Primary practice location
9555 SW Barnes Rd
Suite 100
Portland, OR 97225-6663
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone (503) 418-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022879 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mleiva184952@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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 25402 | OR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Obstetrics & Gynecology | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Obstetrics & Gynecology | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Northwest Urology, LLC | Past | Accepting new patients | |
| Jefferson University Physicians | Obstetrics & Gynecology | Past | Accepting new patients |
| Women'S Healthcare Associates, LLC | Past | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
9135 SW Barnes Rd
Ste 761
Portland, OR 97225
Phone (503) 216-2602
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202
545 NE 47th Ave
Ste 102
Portland, OR 97213
Phone (503) 215-6262
Interoperability endpoints
- mleiva125361@direct.ohsu.edu
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 1003991845
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
Obstetrics & Gynecology
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
- Child & Adolescent Psychiatry Physician
- Portland, OR
- NPI 1295105518
-
- Clinical Pathology Physician
- Portland, OR
- NPI 1831641745
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
-
- 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": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1790766244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393098",
"telephone_number": "503-418-4500",
"fax_number": "503-494-1678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 SW BARNES RD",
"address_2": "SUITE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256663",
"telephone_number": "503-292-3577",
"fax_number": "503-691-3615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIVA",
"first_name": "MARIA",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2021-03-19",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD 25402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022879",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mleiva184952@oc.providencedirect.org",
"affiliation": "N",
"address_1": "545 NE 47th Ave Ste 102",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132237",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Mar 19, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.