Individual provider Active NPI

David William Lesko, MD

  • Otolaryngology Physician
  • Shiloh, IL
National Provider Identifier
1154858504
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
36161937 Issued in IL
Practice address
1179 Fortune Blvd
Shiloh, IL 62269-7377
Phone
(618) 628-0715
Fax
(888) 371-4468
NPI assigned
May 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 36161937 IL Primary

Addresses

Primary practice location

1179 Fortune Blvd
Shiloh, IL 62269-7377

Mailing address

12134 Trentmore PL
Saint Louis, MO 63127-1407
Phone (314) 330-0952

Other practice location 1

3124 Veterans Memorial Drive
Mount Vernon, IL 62864
Phone (618) 628-0715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20221116000509 IL Practitioner - Otolaryngology 4082982442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Sinus Sleep and Allergy Associates, LLCGroup PAC ID 1850705096, 13 clinicians

Practice addresses (Care Compare)

1179 Fortune Blvd
Shiloh, IL 62269-7377
Phone (618) 628-0715

4224 Lincolnshire Dr
Suite B
Mount Vernon, IL 62864-2156
Phone (618) 816-7722

Hospital & facility affiliations

  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
  • SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034
  • Anderson Hospital Hospital, Maryville, IL, CCN 140289

Merit-based Incentive Payment System (MIPS)

Final score
75.22 of 100Reported as group
Quality
63.94
Promoting interoperability
80
Improvement activities
40
Cost
70.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36161937ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Sinus Sleep & Allergy Associates, LLC Otolaryngology CurrentSince Oct 1, 2022 Accepting new patients
ENT & Sleep Medicine Associates LLC Otolaryngology PastSince Oct 30, 2022 Accepting new patients

Locations

4224 Lincolnshire Dr
#B
Mount Vernon, IL 62864
Phone (618) 242-0101

1179 Fortune Blvd
Shiloh, IL 62269
Phone (309) 368-8984

Interoperability endpoints

  • Direct secure messaging: dlesko432740@direct-ehr-ssmhc.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBIIBD

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1154858504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12134 TRENTMORE PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271407",
            "telephone_number": "314-330-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 FORTUNE BLVD",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697377",
            "telephone_number": "618-628-0715",
            "fax_number": "888-371-4468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3124 VETERANS MEMORIAL DRIVE",
            "address_purpose": "LOCATION",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "62864",
            "country_code": "US",
            "telephone_number": "618-628-0715",
            "fax_number": "888-371-4468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESKO",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "36161937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.