Individual provider Active NPI

Leslie Jean Sewell, MD

  • Internal Medicine Physician
  • Bossier City, LA
National Provider Identifier
1083655971
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
021572 Issued in LA
Practice address
2300 Hospital Dr
Suite 320
Bossier City, LA 71111-2166
Phone
(318) 212-7848
Fax
(318) 212-7855
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 021572 LA Primary

Addresses

Primary practice location

2300 Hospital Dr
Suite 320
Bossier City, LA 71111-2166

Mailing address

2300 Hospital Dr
Suite 320
Bossier City, LA 71111-2166
Phone (318) 212-7848

Other identifiers 1

IdentifierTypeStateIssuer
1658855MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20041117000831 LA Practitioner - Internal Medicine 2163486283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Red River Internal MedicineGroup PAC ID 3274716386, 4 clinicians

Practice addresses (Care Compare)

2300 Hospital Dr
Suite 320
Bossier City, LA 71111-2157
Phone (318) 212-7848

Hospital & facility affiliations

  • Primestar Home Health of Nwla, Inc Home health agency, Minden, LA, CCN 197446
  • Elara Caring Home health agency, Bossier City, LA, CCN 197226
  • Professional HH SVC of Minden Home health agency, Minden, LA, CCN 197026
  • Louisiana Homecare Home health agency, Mansfield, LA, CCN 197052
  • Stat Home Health of Northwest Louisiana, LLC Home health agency, Sibley, LA, CCN 197594
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Springhill Medical Center Hospital, Springhill, LA, CCN 190088
  • North Caddo Medical Center Hospital, Vivian, LA, CCN 191304
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Minden Medical Center Hospital, Minden, LA, CCN 190144

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021572LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Red River Internal Medicine Internal Medicine CurrentSince Mar 1, 2011 Accepting new patients

Locations

2300 Hospital Dr
Ste 330
Bossier City, LA 71111
Phone (318) 212-7848

2300 Hospital Dr
Ste 320
Bossier City, LA 71111
Phone (318) 212-7848

Interoperability endpoints

  • Direct secure messaging: lsewell@direct.wkhs.com

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 and National Provider Directory roles.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1083655971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HOSPITAL DR",
            "address_2": "SUITE 320",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112166",
            "telephone_number": "318-212-7848",
            "fax_number": "318-212-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HOSPITAL DR",
            "address_2": "SUITE 320",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112166",
            "telephone_number": "318-212-7848",
            "fax_number": "318-212-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "LESLIE",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "021572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1658855",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.