Individual provider Active NPI

Lesley Nicole Bobek, M.D.

  • Hospitalist Physician
  • Portland, OR
National Provider Identifier
1922202787
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD28032 Issued in OR
Practice address
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone
(503) 216-2906
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43937 MT
Internal Medicine Physician 207R00000X MD60497699 WA
Internal Medicine Physician 207R00000X MD 28032 OR
Hospitalist Physician 208M00000X MD28032 OR Primary

Addresses

Primary practice location

9205 SW Barnes Rd
Portland, OR 97225-6603

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice location 1

6 13th Ave E
Polson, MT 59860-5315
Phone (406) 883-5680

Other practice location 2

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 491-9480

Other identifiers 1

IdentifierTypeStateIssuer
500612478MedicaidOR

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lbobek483506@wm.providencedirect.org Direct
Direct Messaging Address lbobek483506@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20091030000277 OR Practitioner - HospitalistPractitioner - Internal Medicine 0244377802 Reassigns benefits to 4 organizations
I20141216000708 WA Practitioner - Internal Medicine 0244377802 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, shared by 4 NPIs, 1,423 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98005

525 Lilly Rd NE
Olympia, WA 98506-5101

5300 Tallman Ave NW
4 North
Seattle, WA 98107-3932

9205 SW Barnes Rd
FL 1
Portland, OR 97225-6603
Phone (503) 216-2906

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43937MTMDInternal Medicine Physician
MD 28032ORMDInternal Medicine Physician
MD28032ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Dec 21, 2016 Accepting new patients
Providence Health & Services- Washington CurrentSince Oct 22, 2018 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Dec 1, 2014 Accepting new patients
Apogee Medical Group PC Internal Medicine Current Accepting new patients
Providence Health & Services - Washington CurrentSince Dec 26, 2016 Accepting new patients
Providence Health & Services - Oregon CurrentSince Dec 1, 2014 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince Dec 1, 2014 Accepting new patients
Apogee Medical Group PC Internal Medicine CurrentSince Jan 23, 2011 Accepting new patients
Providence Health & Services - Wa CurrentSince Dec 21, 2016 Accepting new patients
Providence Health & Services - Oregon Internal Medicine CurrentSince Oct 27, 2018 Accepting new patients
Providence Health & Services Washington Internal Medicine CurrentSince Dec 24, 2016 Accepting new patients
Providence Health & Services Oregon CurrentSince Nov 17, 2014 Accepting new patients
Apogee Medical Group PC Internal Medicine CurrentSince Jan 23, 2011 Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Oct 22, 2018 Accepting new patients
Providence Health & Services - Washington Internal Medicine CurrentSince Dec 26, 2016 Accepting new patients
Providence Health & Services Washington CurrentSince Dec 22, 2016 Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Oct 22, 2018 Accepting new patients

Locations

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

9205 SW Barnes Rd
Fl 1
Portland, OR 97225
Phone (503) 216-0790

10330 SE 32nd Ave
Ste 205
Portland, OR 97222
Phone (503) 513-8950

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

5300 Tallman Ave NW
#4
Seattle, WA 98107
Phone (206) 297-5100

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

Organizations & group practices 20

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 20

Hospital & facility affiliations 5

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1922202787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 SW BARNES RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256603",
            "telephone_number": "503-216-2906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 13th Ave E",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598605315",
            "country_code": "US",
            "telephone_number": "406-883-5680",
            "fax_number": "406-883-8960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 Lilly Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065133",
            "country_code": "US",
            "telephone_number": "360-491-9480",
            "fax_number": "503-216-4114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBEK",
        "first_name": "LESLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "43937",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60497699",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD 28032",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD28032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500612478",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbobek483506@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 13th Ave E",
            "city": "Polson",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598605315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbobek483506@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "413 Lilly Rd NE",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985065133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.