Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leslie Roub

Individual provider Diagnostic Radiology Physician · NPI 1396722401

Leslie Roub is a Diagnostic Radiology in Portland, Maine. Graduated from University of Pittsburgh School of Medicine in 1976, 50 years ago. Practices with Mount Nittany Medical Center Health Services Inc, a 367-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maine and Pennsylvania.

Years since qualifying
50
Trained at
University of Pittsburgh School of Medicine
Licensed in
ME, PA
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

144 State St
Portland, ME 04101-3776
Phone: (207) 879-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1700 Old Gatesburg Rd Ste 100, State College, PA 16803-2276 — (814) 278-3280
  • 1800 E Park Ave, State College, PA 16803-6701 — (814) 231-7000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD019570E (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 010222 (ME)

Record details

NPI number1396722401
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing addressPo Box 1849, Lewiston, ME 04241-1849

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 1976 (50 years in practice)
Group practice Mount Nittany Medical Center Health Services Inc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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