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: July 19, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Hospital Affiliations CMS Care Compare 3

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · 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.

Internal Medicine (Nephrology)
1130 NW 22ND AVENUE, STE 640
PORTLAND, OR 97210
Internal Medicine (Nephrology)
1130 NW 22ND AVENUE, STE 640
PORTLAND, OR 97210
Nurse Practitioner (Gerontology)
1130 NW 22ND AVENUE, STE 640
PORTLAND, OR 97210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265056626, enumerated as an "individual" on June 02, 2020.

The provider is located at 1130 NW 22ND AVENUE, STE 640 PORTLAND, OR 97210 and the phone number is (503) 229-7976.

Internal Medicine with taxonomy code 207R00000X.

James Gendreau is affiliated with: LEGACY EMANUEL MEDICAL CENTER, LEGACY GOOD SAMARITAN MEDICAL CENTER and PROVIDENCE PORTLAND MEDICAL CENTER.