LESLIE P SMOLUCH M.D.
NPI 1891730768
Specialist in Springfield, OR

Active since June 17, 2006PECOS Enrolled
1110 N 18TH ST, SUITE 3, SPRINGFIELD, OR 97477(541) 726-6447(541) 726-7704 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Leslie P Smoluch M.d. NPPES

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

LESLIE P SMOLUCH M.D. (NPI 1891730768) is an individual specialist in Springfield, Oregon, licensed in Oregon (MD10512) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891730768
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameLESLIE P SMOLUCHCredential: M.D.
Location Address1110 N 18TH ST, SUITE 3Springfield, OR 97477-4200
Mailing Address1110 N 18th St, Suite 3Springfield, OR 97477-4200 · (541) 726-6447 · Fax (541) 726-7704
Fax(541) 726-7704
Sole ProprietorYes
Enumeration DateJune 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1891730768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OR · MD10512
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1110 N 18TH ST, Springfield, OR 97477

Other Identifiers 3

Medicare UPINC93805
Medicare ID-Type Unspecified0000BLCDWOR
Medicaid184465OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leslie P Smoluch M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
1110 N 18TH ST
SPRINGFIELD, OR 97477

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 Leslie Smoluch's NPI number?

The NPI number for Leslie Smoluch is 1891730768. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Leslie Smoluch located?

Leslie Smoluch practices at 1110 N 18th St Suite 3, Springfield, OR 97477. The listed phone number is (541) 726-6447.

What is Leslie Smoluch's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Leslie Smoluch enrolled in Medicare?

Yes. Leslie Smoluch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leslie Smoluch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.