Individual provider Active NPI

Chasheryl L Leslie, MD

  • Obstetrics & Gynecology Physician
  • Bowie, MD
National Provider Identifier
1184794638
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0057324 Issued in MD
Practice address
4175 N Hanson CT Ste 209
Bowie, MD 20716-3184
Phone
(301) 352-4007
Fax
(301) 352-3316
NPI assigned
Nov 9, 2006
Last updated
Dec 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0057324 MD Primary

Addresses

Primary practice location

4175 N Hanson CT Ste 209
Bowie, MD 20716-3184

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (667) 204-7212

Other practice location 1

2000 Medical Pkwy Ste 309
Annapolis, MD 21401-3745
Phone (410) 224-1133

Other practice location 2

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 414-4740

Other identifiers 7

IdentifierTypeStateIssuer
5329598OtherMDCIGNA
Y8880001OtherMDCAREFIRST
013557OtherMDJHHC
01462059OtherMDAMERIGROUP
022888501MedicaidMD
1184794638OtherMDTRICARE
7525268OtherMDAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040108000890 DC Practitioner - Obstetrics/Gynecology 9335048206 Reassigns benefits to 1 organization
I20050822000595 MD Practitioner - Obstetrics/Gynecology 9335048206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000

2003 Medical Pkwy
Annapolis, MD 21401-3081

2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286

4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300

4175 N Hanson Court
210 Surgical Specialists at Aamc
Bowie, MD 20716-3179
Phone (443) 481-6699

4175 N Hanson CT
Bowie, MD 20716-3181

4175 N Hanson CT
104 LH Primary Care North Hanson Court
Bowie, MD 20716-3179
Phone (301) 464-9660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057324MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Dec 1, 2012 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 1, 2012 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 1, 2012 Accepting new patients
Luminis Health Anne Arundel Medical Center, Inc. Past Accepting new patients
Providence Health Services Inc Past Accepting new patients
George H Wathen MD PA Past Accepting new patients

Locations

2000 Medical Pkwy
Ste 309
Annapolis, MD 21401
Phone (410) 224-1133

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

2003 Medical Pkwy
Ste 300
Annapolis, MD 21401
Phone (410) 266-6035

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

201 Defense Hwy
Ste 100
Annapolis, MD 21401
Phone (443) 481-6549

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

4175 N Hanson Ct
Ste 209
Bowie, MD 20716
Phone (301) 352-4007

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

Interoperability endpoints

  • Direct secure messaging: cleslie12652@direct.aahs.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1184794638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 409",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013746",
            "telephone_number": "667-204-7212",
            "fax_number": "443-481-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 N HANSON CT STE 209",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163184",
            "telephone_number": "301-352-4007",
            "fax_number": "301-352-3316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Medical Pkwy Ste 309",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013745",
            "country_code": "US",
            "telephone_number": "410-224-1133",
            "fax_number": "410-266-1639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206784017",
            "country_code": "US",
            "telephone_number": "410-414-4740",
            "fax_number": "410-535-8232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "CHASHERYL",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0057324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5329598",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "Y8880001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC",
            "identifier": "013557",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01462059",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022888501",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1184794638",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7525268",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.