JAMES LEE GENDREAU (MD) – Internal Medicine Physician, NPI 1265056626

JAMES LEE GENDREAU (MD) is a healthcare provider. based in Portland, Oregon. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. MD222647 (OR). The NPI Number for JAMES LEE GENDREAU (MD) is 1265056626

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JAMES LEE GENDREAU (MD)
NPI
1265056626
Phone
(503) 229-7976
Address
PO BOX 3068
Enumeration Date
2 June 2020
Last Update Date
16 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032156480
Graduation Year
2020 (6 years ago)
PAC ID
8325460165
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20250227001264
Address ID
OR972132981PO5050XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

2,474 INTERNAL MEDICINE in OR

Provider Addresses for JAMES LEE GENDREAU (MD)

  • PO BOX 3068

    PORTLAND, OR 972083068

    Phone: (503) 229-7976

    Fax: (503) 274-4867

    Type: Mailing

  • 1130 NW 22ND AVENUE, STE 640

    PORTLAND, OR 97210

    Phone: (503) 229-7976

    Fax: (503) 274-4867

    Type: Location

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Type: Mailing

  • 5050 NE HOYT ST STE 540

    PORTLAND, OR 972132985

    Phone: (503) 215-6600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250227001264IInternal MedicineORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

What is JAMES LEE GENDREAU (MD)'s NPI number?
JAMES LEE GENDREAU (MD)'s NPI is 1265056626 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JAMES LEE GENDREAU (MD)?
For scheduling context, JAMES LEE GENDREAU (MD) is shown as active in the registry.
What kind of doctor is JAMES LEE GENDREAU (MD)?
JAMES LEE GENDREAU (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is JAMES LEE GENDREAU (MD) located near Portland?
JAMES LEE GENDREAU (MD) currently maps to Portland, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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