NPIMap

Individual provider Active NPI

Leslie L Root, MD

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1831167907
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD19668 Issued in OR
Practice address
501 N Graham St
Ste 100
Portland, OR 97227-1654
Phone
(503) 249-5780
Fax
(503) 249-5788
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD19668 OR Primary
Hospitalist Physician 208M00000X MD19668 OR

Addresses

Primary practice location

501 N Graham St
Ste 100
Portland, OR 97227-1654

Mailing address

1411 SW Morrison St
Ste 200
Portland, OR 97205-1945
Phone (503) 242-9850

Other identifiers 1

IdentifierTypeStateIssuer
129949MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080527000577 OR Practitioner - Internal Medicine 2163591520 Reassigns benefits to 6 organizations
I20210826002834 WA Practitioner - Internal Medicine 2163591520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Legacy Good Samaritan Hospital and Medical CenterGroup PAC ID 0547179939, 190 clinicians
Legacy Emanuel Hospital and Health CenterGroup PAC ID 4587573639, 235 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074

1225 NE 2ND Ave
Portland, OR 97232-2003
Phone (503) 944-8000

1960 NW 167TH PL
Suite 100
Beaverton, OR 97006-4805
Phone (503) 672-6000

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2042

8329 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2215
Phone (503) 414-5160

Hospital & facility affiliations

  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025
  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001

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

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19668ORMDInternal Medicine Physician
19668ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Dec 3, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Mar 14, 2008 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Dec 3, 2023 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Dec 3, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Feb 13, 2017 Accepting new patients
Silverton Health CurrentSince Dec 3, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Feb 13, 2017 Accepting new patients
Silverton Health CurrentSince Dec 3, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Dec 3, 2023 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Dec 3, 2023 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Aug 20, 2021 Accepting new patients
Legacy Salmon Creek Hospital Hospitalist CurrentSince Aug 20, 2021 Accepting new patients
Legacy Meridian Park Hospital Hospitalist Past Accepting new patients

Locations

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

861 W Main St
Molalla, OR 97038
Phone (503) 829-7344

250 W Marquam St
Mount Angel, OR 97362
Phone (503) 845-2000

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

2222 NW Lovejoy St
Ste 505
Portland, OR 97210
Phone (503) 226-4091

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

501 N Graham St
Ste 100
Portland, OR 97227
Phone 5032429850209

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

15 N Morris St
Ste 580
Portland, OR 97227
Phone (503) 528-0704

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

500 N Columbia River Hwy
Ste 6
Saint Helens, OR 97051
Phone (503) 366-5101

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

19250 SW 65th Ave
Ste 110
Tualatin, OR 97062
Phone (503) 692-1205

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

1002 N Boones Ferry Rd
Woodburn, OR 97071
Phone (503) 981-9526

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: lroot10517@direct.lhs.org

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Legacy Emanuel Medical CenterPortland, OR, CCN 380007 Hospital Corporate Director Jan 1, 2012
Legacy Good Samaritan Medical CenterPortland, OR, CCN 380017 Hospital Corporate Director Jan 1, 2012
Legacy Silverton Medical CenterSilverton, OR, CCN 380029 Hospital Corporate Director Jan 1, 2012
Legacy Salmon Creek Medical CenterVancouver, WA, CCN 500150 Hospital Corporate Director Jan 1, 2012
Legacy Meridian Park Medical CenterTualatin, OR, CCN 380089 Hospital Corporate Director Jan 1, 2012
Legacy Mount Hood Medical CenterGresham, OR, CCN 380025 Hospital Corporate Director Jul 25, 2013
Legacy Good Samaritan Hospital and Medical CenterPortland, OR, CCN 38T017 Hospital Corporate Director Jan 1, 2012
Unity Center for Beahavioral HealthPortland, OR, CCN 38S007 Hospital Corporate Director Jan 1, 2012
Legacy HospiceTualatin, OR, CCN 381505 Hospice Corporate Director Jan 1, 2012
Legacy Medical Group - Mt. AngelMount Angel, OR, CCN 383999 Rural health clinic Corporate Director Jan 1, 2012
Legacy Medical Group - Woodburn Health CenterWoodburn, OR, CCN 388500 Rural health clinic Corporate Director Jan 1, 2012
Legacy Medical Group - Silverton Family PhysiciansSilverton, OR, CCN 388501 Rural health clinic Corporate Director Jan 1, 2012
Legacy Clinic St HelensSaint Helens, OR, CCN 383867 Rural health clinic Corporate Director Jan 1, 2012
Legacy Medical Group - FirwoodSandy, OR, CCN 383881 Rural health clinic Corporate Director Jan 1, 2012

Owned or controlled facilities with NPI records 20

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 20

Organizations & group practices 17

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 17

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1831167907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SW MORRISON ST",
            "address_2": "STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051945",
            "telephone_number": "503-242-9850",
            "fax_number": "503-279-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST",
            "address_2": "STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271654",
            "telephone_number": "503-249-5780",
            "fax_number": "503-249-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "LESLIE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD19668",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD19668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129949",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.