Individual provider Active NPI

Leslie A Welk, M.D.

  • Diagnostic Radiology Physician
  • Paradise Valley, AZ
National Provider Identifier
1013938984
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
21611 Issued in AZ
Practice address
4910 E Beryl Ave
Paradise Valley, AZ 85253-1048
Phone
(602) 326-2194
NPI assigned
Jul 23, 2006
Last updated
Jun 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 21611 MI
Diagnostic Radiology Physician 2085R0202X 21611 AZ Primary

Addresses

Primary practice location

4910 E Beryl Ave
Paradise Valley, AZ 85253-1048

Mailing address

4045 E Bell Rd
Ste 143
Phoenix, AZ 85032-2236
Phone (602) 867-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519001009 AZ Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 6103817127 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Imaging Services LLCGroup PAC ID 1850724386, 122 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

5605 W Eugie Ave
Suite 110
Glendale, AZ 85304-1273
Phone (480) 610-7400

807 S Ponderosa St
Payson, AZ 85541-5542
Phone (928) 471-3222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
64.97
Promoting interoperability
98
Improvement activities
40
Cost
69.88

Merit-based Incentive Payment System (MIPS)

Final score
78.42 of 100Reported as group
Quality
62.19
Promoting interoperability
99
Improvement activities
40
Cost
61.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21611AZMDProfessional Counselor
21611MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Mar 15, 2014 Accepting new patients
Banner - University Physician Specialists LLC Current Accepting new patients
Banner-University Medical Group Family Medicine CurrentSince Jul 29, 2019 Accepting new patients
Banner Cancer Center Specialists LLC Current Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Aug 1, 2019 Accepting new patients
Banner Imaging Services LLC CurrentSince Jun 1, 2024 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Jan 1, 2016 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2012 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Banner-University Medical Group CurrentSince Jul 29, 2019 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology Past Accepting new patients
Banner Imaging Associates PLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 34)

20751 W Market St
Buckeye, AZ 85396
Phone (623) 463-5000

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1125 S Alma School Rd
Ste 110
Chandler, AZ 85286

1435 S Alma School Rd
Chandler, AZ 85286
Phone (480) 668-1600

155 E Warner Rd
Gilbert, AZ 85296
Phone (480) 649-6600

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

9780 S Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 474-8101

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1917 S Crismon Rd
Mesa, AZ 85209
Phone (480) 610-7100

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1111 E McDowell Rd
Fl 1
Phoenix, AZ 85006

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

18444 N 25th Ave
Ste 140
Phoenix, AZ 85023
Phone (623) 465-6940

925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1013938984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD",
            "address_2": "STE 143",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322236",
            "telephone_number": "602-867-0404",
            "fax_number": "602-788-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 E BERYL AVE",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531048",
            "telephone_number": "602-326-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELK",
        "first_name": "LESLIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "21611",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "21611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

Verify at the official NPI Registry.