LESLIE ROUB NPI 1396722401

NPI Information

  • NPI: 1396722401
  • Provider Name: LESLIE ROUB
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 144 STATE ST
    PORTLAND, ME
    ZIP 04101
  • Phone: (207) 879-3000

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NPI Details

Leslie Roub is a diagnostic radiology radiology in Portland, ME with 50 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Leslie Roub NPI is 1396722401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:1976

The provider's business location address is:

144 STATE ST
PORTLAND, ME
ZIP 04101-776
Phone: (207) 879-3000

The NPI 1396722401 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 11/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMD019570EPENNSYLVANIAYes
22085R0202XRadiologyDiagnostic Radiology010222MAINENo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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