DR. BRUCE LEEWIWATANAKUL D.O.
NPI 1821521279
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR
NPI Status: Active since April 04, 2017
Contact Information
3181 SW SAM JACKSON PARK RD.
OHSU
PORTLAND, OR
ZIP 97239
Phone: (503) 494-8211
- Individual
- Male
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- Accepts Insurance
- PECOS Enrolled
About BRUCE LEEWIWATANAKUL
This page provides the complete NPI Profile along with additional information for Bruce Leewiwatanakul, a provider established in Portland, Oregon with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1821521279 assigned on April 2017. The practitioner's primary taxonomy code is 2084P0804X with license number DO219810 (OR). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1821521279
- Provider Name
- DR. BRUCE LEEWIWATANAKUL D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3181 SW SAM JACKSON PARK RD. OHSU PORTLAND, OR 97239
- Location Phone
- (503) 494-8211
- Mailing Address
- 1400 SW 5TH AVE STE 500 PORTLAND, OR 97201
- Mailing Phone
- (866) 617-6855
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-04-2017
- Last Update Date
- 08-15-2024
- Code Navigator
Location Map
Secondary Locations
- 3401 Civic Center Blvd Division of Post Peds Portal Fellowship in General & Child and Adolescent Psychiatry
Philadelphia, PA 19104
(215) 327-4438
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- DO219810
- License State
- OR
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | DO197940 (OR) |
| 2 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | OS021227 (PA) |
| 3 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | OS021227 (PA) |
| 4 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Bruce Leewiwatanakul is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. BRUCE LEEWIWATANAKUL D.O.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 2 | 1 | 5 | 2 | 1 | 2 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 10 | 2 | 2 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 1 + 0 + 2 + 2 + 2 + 1 + 4 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1821521279 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
ERIC WYATT WALSH MD
Family Medicine
3181 SW SAM JACKSON PARK RD.
OREGON HEALTH AND SCIENCE UNIVERSITY
PORTLAND, OR
ZIP 97239
DR. JENNIFER ELLERY MARTIN CCC-A
Audiologist
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR
ZIP 97239
DR. KENNETH RICHARDS STEVENS JR. M.D.
Radiology
(Radiation Oncology)
3181 SW SAM JACKSON PARK RD.
KPV4, RADIATION MEDICINE
PORTLAND, OR
ZIP 97239
MARK DAMMANN M.D.
Emergency Medicine
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR
ZIP 97239
DR. RAPHAEL MICAH BYRNE M.D.
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD.
OHSU
PORTLAND, OR
ZIP 97239
IDA SHEEVAUN KHAKI MD
Pediatrics
3181 SW SAM JACKSON PARK RD.
OHSU
PORTLAND, OR
ZIP 97239
MRS. ERICA EILEEN KILEY NP
Nurse Practitioner
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR
ZIP 97239
KEVIN MICHAEL PIRO M.D.
Internal Medicine
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR
ZIP 97239
DR. EUGENE LLOYD HIEBERT MD
Anesthesiology
(Pain Medicine)
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR
ZIP 97239
ASHA JETMALANI
Psychiatry & Neurology
(Psychiatry)
3181 SW SAM JACKSON PARK RD.
OHSU
PORTLAND, OR
ZIP 97239
GURION SETH LANTZ
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3181 SW SAM JACKSON PARK RD.
MAIL CODE L353
PORTLAND, OR
ZIP 97239
LINDA ANNE BRYANS CCC-SLP
Speech-Language Pathologist
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR
ZIP 97239
PETER STANLEY JONES M.D.
Emergency Medicine
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR
ZIP 97239
MR. BRADLEY THOMAS NEWHART PA-C
Physician Assistant
(Medical)
3181 SW SAM JACKSON PARK RD.
MAIL CODE SJH-2
PORTLAND, OR
ZIP 97239
CAROLYN KYLE NIXON
Physician Assistant
(Medical)
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR
ZIP 97239
ALEXANDER C. AUL DNP, CRNA
Nurse Anesthetist, Certified Registered
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR
ZIP 97239
DANIEL HOLZMACHER
Physician Assistant
(Medical)
3181 SW SAM JACKSON PARK RD.
MAIL CODE SJH-2
PORTLAND, OR
ZIP 97239
MR. ASHLEY CASIMIR VASNAIK APRN.CRNA
Nurse Anesthetist, Certified Registered
3181 SW SAM JACKSON PARK RD.
PORTLAND, OR
ZIP 97239
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821521279, enumerated as an "individual" on April 04, 2017.
The provider is located at 3181 SW SAM JACKSON PARK RD. OHSU PORTLAND, OR 97239 and the phone number is (503) 494-8211.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
