Leslie C Abitz, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Sheboygan, WI
NPI 1093723645 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1093723645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 30178 (WI)
- Practice address
- 2414 Kohler Memorial Dr
Sheboygan, WI 53081 - Phone
- (920) 457-4461
- Fax
- (920) 459-1467
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Medical Group, Inc.
Practice addresses (Care Compare)
1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056
3400 Union Ave
Sheboygan, WI 53081-8426
Phone (920) 828-2530
Hospital & facility affiliations
- Aurora Medical Center Sheboygan County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040209000043 | WI | Practitioner - Obstetrics/Gynecology | 1254224611 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30178 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
620 S Wisconsin Dr
Sheboygan, WI 53083
Phone (920) 565-4595
3400 Union Ave
Sheboygan, WI 53081
Phone (920) 802-2100
2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461
Interoperability endpoints
- labitz45051@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 30178 | WI | Yes |
Addresses
Primary practice location
2414 Kohler Memorial Dr
Sheboygan, WI 53081
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 647-6326
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31484500 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | labitz45051@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | Other |
Other providers in Sheboygan, WI
- Audrey Lorraine Aardappel
- S. David Aardappel
- Noormuhammad O Abbasakoor
- Craig L Abrams
- Sumar Abushaqra
- Jocelyn A Acompanado
- Act XII Counseling and Ministry, Inc
- Duncan R Adams
All providers in Sheboygan, WI · Obstetrics & Gynecology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.