Individual provider Active NPI

Jennifer Louise Zakhireh, M.D.

  • Surgery Physician
  • Gresham, OR
National Provider Identifier
1912032707
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD218894 Issued in OR
Practice address
25050 SE Stark St
Gresham, OR 97030-3327
Phone
(503) 674-1848
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 58404 TN
Surgery Physician 208600000X A86308 CA
Surgery Physician 208600000X MD218894 OR Primary

Addresses

Primary practice location

25050 SE Stark St
Gresham, OR 97030-3327

Mailing address

PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900

Other practice location 1

1600 Divisadero St
B-638
San Francisco, CA 94143-0001
Phone (415) 885-7691

Other names 1

  • Dr. Jennifer Louise Weik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OR, WA3 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
I20181231001845 TN Practitioner - General Surgery 5193824191 Reassigns benefits to 1 organization
I20240507003601 OR Practitioner - General Surgery 5193824191 Reassigns benefits to 1 organization
I20240507003999 WA Practitioner - General Surgery 5193824191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

25050 SE Stark St
Gresham, OR 97030-3383
Phone (503) 674-1848

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
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A86308CAMDSurgery Physician
MD218894ORMDSurgery Physician
58404TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Surgery CurrentSince Jan 1, 2019 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 23, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jan 1, 2019 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 23, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 23, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 23, 2024 Accepting new patients

Locations

25050 SE Stark St
Gresham, OR 97030
Phone (503) 413-5702

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

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

19250 SW 65th Ave
Ste 260
Tualatin, OR 97062
Phone (503) 352-0770

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

6215 Humphreys Blvd
Ste 209
Memphis, TN 38120
Phone (901) 227-8950

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

6215 Humphreys Blvd
Ste 208
Memphis, TN 38120
Phone (901) 227-8950

2121 NE 139th St
Ste 120
Vancouver, WA 98686
Phone (360) 487-1717

2121 NE 139th St
Ste 245
Vancouver, WA 98686
Phone (360) 326-3966

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

Interoperability endpoints

  • Direct secure messaging: jzakhireh28122@mlh.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1912032707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777",
            "telephone_number": "503-413-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 SE STARK ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303327",
            "telephone_number": "503-674-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Divisadero St",
            "address_2": "B-638",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941430001",
            "country_code": "US",
            "telephone_number": "415-885-7691",
            "fax_number": "415-353-9571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAKHIREH",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "58404",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A86308",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD218894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WEIK",
            "middle_name": "LOUISE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.