Individual provider Active NPI

Leslie Fan Hao, M.D.

  • Otolaryngology Physician
  • Chevy Chase, MD
National Provider Identifier
1194870790
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0056720 Issued in MD
Practice address
5530 Wisconsin Ave
Suite #1455
Chevy Chase, MD 20815-4404
Phone
(301) 656-8630
Fax
(301) 656-8631
NPI assigned
Jan 24, 2007
Last updated
Jan 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D0056720 MD Primary
Otolaryngology Physician 207Y00000X MD32660 DC

Addresses

Primary practice location

5530 Wisconsin Ave
Suite #1455
Chevy Chase, MD 20815-4404

Mailing address

5530 Wisconsin Ave
Suite #1455
Chevy Chase, MD 20815-4404
Phone (301) 656-8630

Other identifiers 1

IdentifierTypeStateIssuer
0W54TPOtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20050712000719 DC Practitioner - Otolaryngology 3870529746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Columbia University College of Physicians and Surgeons, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chevy Chase ENT Associates, LLCGroup PAC ID 0446286314, 6 clinicians

Practice addresses (Care Compare)

5530 Wisconsin Ave
Suite 1500
Chevy Chase, MD 20815-4303
Phone (301) 656-8630

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.23 of 100Reported as group
Quality
58.46
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0056720MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chevy Chase ENT Associates, LLC Otolaryngology CurrentSince Aug 21, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5530 Wisconsin Ave
Ste 1455
Chevy Chase, MD 20815
Phone (301) 656-6700

5530 Wisconsin Ave
Ste 1500
Chevy Chase, MD 20815
Phone (301) 656-8630

Interoperability endpoints

  • Direct secure messaging: lhao51646@direct.hopkinsmedicine.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1194870790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE #1455",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-656-8630",
            "fax_number": "301-656-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE #1455",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-656-8630",
            "fax_number": "301-656-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAO",
        "first_name": "LESLIE",
        "middle_name": "FAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D0056720",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DC",
            "license": "MD32660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0W54TP",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.