Individual provider Active NPI

Leslie Z Vidmar, CNP

  • Geriatric Medicine (Family Medicine) Physician
  • Cleveland, OH
National Provider Identifier
1033240031
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
CNP.09893 Issued in OH
Practice address
4510 Richmond Rd
Cleveland, OH 44128-5757
Phone
(440) 665-0024
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN190839 OH
Geriatric Medicine (Family Medicine) Physician 207QG0300X CNP.09893 OH Primary

Addresses

Primary practice location

4510 Richmond Rd
Cleveland, OH 44128-5757

Mailing address

8524 Cranwood Dr
Chesterland, OH 44026-1416
Phone (440) 665-0024

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Vleslievidmar@uhps.allscriptsdirect.net
Direct Messaging Address leslievidmar@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080623000016 OH Practitioner - Nurse Practitioner 5698846442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
62.05
Promoting interoperability
100
Improvement activities
40
Cost
73.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Certified Registered Nurse, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CNP.09893OHMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Dec 1, 2021 Accepting new patients
University Hospitals Regional Practices LLC Geriatric Medicine CurrentSince Mar 1, 2020 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Dec 1, 2021 Accepting new patients

Locations

2217 West Ave
Ashtabula, OH 44004
Phone (440) 964-8446

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

15976 E High St
Ste 100
Middlefield, OH 44062
Phone (440) 632-0770

4510 Richmond Rd
Warrensville Heights, OH 44128
Phone (216) 360-7530

Interoperability endpoints

  • Direct secure messaging: vleslievidmar@uhps.allscriptsdirect.net
  • Direct secure messaging: lvidmar27736@ehrdirect.uhhospitals.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1033240031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 CRANWOOD DR",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440261416",
            "telephone_number": "440-665-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 RICHMOND RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285757",
            "telephone_number": "440-665-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDMAR",
        "first_name": "LESLIE",
        "middle_name": "Z",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN190839",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "CNP.09893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vleslievidmar@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4510 Richmond Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441285757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leslievidmar@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4510 Richmond Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441285757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.