Individual provider Active NPI

Leslie Shenkel, MD

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1104022342
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36554 Issued in CO
Practice address
13650 E Mississippi Ave
Suite 100-B
Aurora, CO 80012-3561
Phone
(877) 889-1522
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36554 CO Primary

Addresses

Primary practice location

13650 E Mississippi Ave
Suite 100-B
Aurora, CO 80012-3561

Mailing address

350 Dahlia St
Denver, CO 80220-5714
Phone (303) 388-5121

Other identifiers 2

IdentifierTypeStateIssuer
51855232MedicaidCO
021561OtherCOKAISER COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20070810000362 CO Practitioner - Family Practice 6709977358 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36554COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Family Health CurrentSince Oct 29, 2017 Accepting new patients
Salud Family Health CurrentSince Oct 29, 2017 Accepting new patients
Salud Family Health Past Accepting new patients
Salud Family Health Past Accepting new patients

Locations

1860 E Egbert St
Brighton, CO 80601
Phone (303) 659-4000

203 S Rollie Ave
Fort Lupton, CO 80621
Phone (303) 286-4560

5995 Iris Pkwy
Frederick, CO 80504
Phone (303) 833-2050

Interoperability endpoints

  • Direct secure messaging: leslie.shenkel@sfhc.eclinicaldirectplus.com

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1104022342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 DAHLIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802205714",
            "telephone_number": "303-388-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 E MISSISSIPPI AVE",
            "address_2": "SUITE 100-B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123561",
            "telephone_number": "877-889-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENKEL",
        "first_name": "LESLIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "36554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51855232",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "021561",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.