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JAMES LEE GENDREAU MD
NPI 1265056626
Internal Medicine in Portland, OR

Active since June 02, 2020PECOS EnrolledAccepts Medicare Assignment
1130 NW 22ND AVENUE, STE 640, PORTLAND, OR 97210(503) 229-7976(503) 274-4867 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2025, Jun 2, 2020 (2 updates tracked since 2020).

About James Lee Gendreau Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES LEE GENDREAU MD (NPI 1265056626) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD222647) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265056626
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES LEE GENDREAUCredential: MD
Location Address1130 NW 22ND AVENUE, STE 640Portland, OR 97210
Mailing AddressPo Box 3068Portland, OR 97208-3068 · (503) 229-7976 · Fax (503) 274-4867
Phone(503) 229-7976
Fax(503) 274-4867
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 2, 2020
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1265056626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD222647
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License MD222647 (OR)
1130 NW 22ND AVENUE, STE 640, Portland, OR 97210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Lee Gendreau Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325460165
PECOS Enrollment IDI20250227001264
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show James Gendreau reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Renal Clinic, Inc.
Same address
Nephrology
1130 NW 22ND AVE STE 640
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 31 clinicians in this Medicare group
NPI 1528036662 (503) 229-7976
Providence Health & Services - Oregon
0.8 mi
Sports Medicine
909 SW 18TH AVE
Portland, OR 97205
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1235479643 (503) 962-1946
Providence Health & Services - Oregon
4.1 mi
General Acute Care Hospital
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 676 clinicians in this Medicare group
NPI 1003991845 (503) 451-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEM A DEODHAR MD
Internal Medicine (Nephrology)
1130 NW 22ND AVENUE, STE 640
PORTLAND, OR 97210
Multnomah County (503) 229-7976
CLAYTON M SMILEY MD
Internal Medicine (Nephrology)
1130 NW 22ND AVENUE, STE 640
PORTLAND, OR 97210
Multnomah County (503) 229-7976
AMANDA L CARR NP
Nurse Practitioner (Gerontology)
1130 NW 22ND AVENUE, STE 640
PORTLAND, OR 97210
Multnomah County (503) 229-7976

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Gendreau's NPI number?

The NPI number for James Gendreau is 1265056626. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is James Gendreau located?

James Gendreau practices at 1130 NW 22nd Avenue, Ste 640, Portland, OR 97210. The listed phone number is (503) 229-7976.

What is James Gendreau's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Gendreau enrolled in Medicare?

Yes. James Gendreau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Gendreau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gendreau reassigns Medicare benefits to 3 organizations: Northwest Renal Clinic, Inc. (Portland, OR), Providence Health & Services - Oregon (Portland, OR) and Providence Health & Services - Oregon (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Gendreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Gendreau accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list James Gendreau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Gendreau affiliated with any hospitals?

According to CMS data, James Gendreau is affiliated with Legacy Emanuel Medical Center and Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for James Gendreau was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.