Active NPI
Lesley Delgado, M.D.
- Pediatrics Physician
- Mount Pleasant, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 63086
- Practice address
- 3807 Spring St
Mount Pleasant, WI 53405-1667 - Phone
- (262) 687-8282
- Fax
- (262) 687-8224
- NPI assigned
- Jul 6, 2011
- Last updated
- Sep 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R72758 | AZ | |
| Pediatrics Physician | 208000000X | 63086 | WI | Primary |
Addresses
Primary practice location
3807 Spring St
Mount Pleasant, WI 53405-1667
Mailing address
3807 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R72758 | AZ | MD | Pediatrics Physician |
| 63086 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Pediatrics | Current | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
3807 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-8173
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Organizations & group practices 1
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.
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1033406392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3807 SPRING ST",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534051667",
"telephone_number": "262-687-8282",
"fax_number": "262-687-8224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3807 SPRING ST",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534051667",
"telephone_number": "262-687-8282",
"fax_number": "262-687-8224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO",
"first_name": "LESLEY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "R72758",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "63086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, WI
- Dean Pain Management SC
- Sheryl Ann Dean, LCSW,BSW,CSAC,RCS
- Heather Kay Debruin, OTR MS
- Deerwood Orthodontics, LLC (Deerwood Orthodontics Racine)
- Joshua Delarosa, MPAS, PA-C
- Angela Dellise, LPC, CSAC, CS-IT
- Barbara Gail Demilio, LCSW
- Denise Falaschi LPC Inc (Denise L Falaschi LPC LMFT INC)
- Dental Health Professionals of Wisconsin, S.C. (Kind Dentistry)
- Dermatology Consultants LLC (CenterPoint Dermatology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.