Active NPI
Leslie Blair Walton, D.O
- Anesthesiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- H90423
- Practice address
- 6071 W Outer Dr
Detroit, MI 48235-2624 - Phone
- (313) 966-3300
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5101019843 | MI | |
| Anesthesiology Physician | 207L00000X | H90423 | MD | Primary |
Addresses
Primary practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
1824 Colonial Village Way Apt 1
Waterford, MI 48328-1934
Phone (248) 790-6878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Michigan State University College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6720
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
Hospital & facility affiliations
- Inova Loudoun Hospital
- University of Maryland Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H90423 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Anesthesiology Associates, P.a. | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology Associates of Michigan, PC | Anesthesiology | Past | Accepting new patients |
| Adrian Urgent Care PLLC | Past | Accepting new patients | |
| Warren Urgent Care PC | Past | Accepting new patients | |
| Southgate Urgent Care PC | Past | Accepting new patients |
Locations
250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
Interoperability endpoints
- lwalton1008343@direct.hopkinsmedicine.org
- lwalton980999@direct.umm.edu
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1720024235
-
- Anesthesiology Physician
- Fairfax, VA
- NPI 1861131906
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
- Urgent Care Clinic/Center
- Adrian, MI
- NPI 1144611633
-
- Anesthesiology Physician
- Grand Blanc, MI
- NPI 1235181223
-
- Urgent Care Clinic/Center
- Southgate, MI
- NPI 1790967339
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1255513891
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1154685477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 COLONIAL VILLAGE WAY APT 1",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483281934",
"telephone_number": "248-790-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-966-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTON",
"first_name": "LESLIE",
"middle_name": "BLAIR",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "5101019843",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "H90423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.