Individual provider Active NPI

Leslie Hoilman Ward, MD

  • Pediatrics Physician
  • Albuquerque, NM
National Provider Identifier
1063447258
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20050593 Issued in NM
Practice address
9101 Montgomery Blvd NE
Albuquerque, NM 87111-2405
Phone
(505) 275-4288
Fax
(505) 275-4203
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20050593 NM Primary

Addresses

Primary practice location

9101 Montgomery Blvd NE
Albuquerque, NM 87111-2405

Mailing address

PO Box 26028
Albuquerque, NM 87125-6028
Phone (505) 232-1617

Other practice location 1

2901 Transport St SE
Albuquerque, NM 87106-4382
Phone (505) 262-7594

Other identifiers 1

IdentifierTypeStateIssuer
80588336MedicaidNM

Other names 1

  • Leslie Anne Hoilman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20051109001244 NM Practitioner - Pediatric Medicine 0042236275 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20050593NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare New Mexico LLC CurrentSince Jun 17, 2010 Accepting new patients
Optumcare Endoscopy Center New Mexico, LLC Past Accepting new patients

Locations

5150 Journal Center Blvd NE
Albuquerque, NM 87109
Phone (505) 262-3212

5150 Journal Center Blvd NE
Fl 3
Albuquerque, NM 87109
Phone (505) 262-3212

9101 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 275-4270

8080 Academy Rd NE
Albuquerque, NM 87111
Phone (505) 727-3400

5400 Gibson Blvd SE
Albuquerque, NM 87108
Phone (505) 262-7174

2901 Transport St SE
Albuquerque, NM 87106
Phone (505) 262-7110

Interoperability endpoints

  • Direct secure messaging: lward119383@westdirect.optum.com

Organizations & group practices 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1063447258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26028",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256028",
            "telephone_number": "505-232-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112405",
            "telephone_number": "505-275-4288",
            "fax_number": "505-275-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Transport St SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871064382",
            "country_code": "US",
            "telephone_number": "505-262-7594",
            "fax_number": "505-262-7641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "LESLIE",
        "middle_name": "HOILMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "20050593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80588336",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "HOILMAN",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.