Active NPI
Leslie McCrary-Etuk, MD
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2011025936
- Practice address
- 1315 Aubert Ave
Saint Louis, MO 63113-1918 - Phone
- (314) 449-9726
- Fax
- (314) 449-9641
- NPI assigned
- Jan 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2011025936 | MO | Primary |
Addresses
Primary practice location
1315 Aubert Ave
Saint Louis, MO 63113-1918
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Other practice location 1
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone (314) 367-5820 ext. 2306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1315 Aubert Ave
Saint Louis, MO 63113-1918
Phone (314) 449-9726
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone (314) 367-5820
5541 Riverview Blvd
Saint Louis, MO 63120-2443
Phone (314) 389-4566
7047 Emma Ave
Jennings, MO 63136-1049
Phone (314) 653-8070
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archwell Health Professional Services of Kansas, P.a. | Current | Accepting new patients | |
| County of St Louis Division of Fiscal Management | Past | Accepting new patients |
Locations
199 N Florissant Rd
Ferguson, MO 63135
Phone (314) 449-9640
1315 Aubert Ave
Saint Louis, MO 63113
Phone (314) 449-9726
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Interoperability endpoints
- leslie.mccraryetuk@cstl.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Ferguson, MO
- NPI 1083289086
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1376685529
-
- Federally Qualified Health Center (FQHC)
- Berkeley, MO
- NPI 1184519506
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1174670418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "888-987-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 AUBERT AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631131918",
"telephone_number": "314-449-9726",
"fax_number": "314-449-9641"
}
],
"practiceLocations": [
{
"address_1": "5471 Dr Martin Luther King Dr",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631124265",
"country_code": "US",
"telephone_number": "314-367-5820 x2306",
"fax_number": "314-367-5820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCRARY-ETUK",
"first_name": "LESLIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2011025936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.