Individual provider Active NPI

Leslie Lang Keller Pristas, D.O.

  • Surgery Physician
  • Cleveland, OH
National Provider Identifier
1194951624
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34010237 Issued in OH
Practice address
18780 Bagley Rd Ste 108
Cleveland, OH 44130-3304
Phone
(440) 816-2330
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 34010237 OH Primary

Addresses

Primary practice location

18780 Bagley Rd Ste 108
Cleveland, OH 44130-3304

Mailing address

PO Box 638269
Cincinnati, OH 45263-8269

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lpristas@direct.swgeneral.com Southwest General Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180718000962 OH Practitioner - General Surgery 2961727797 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Ohio University, College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leslie Pristas DO LLCGroup PAC ID 2365987286, 5 clinicians
Eon Care Services LLCGroup PAC ID 8820529704, 20 clinicians

Practice addresses (Care Compare)

18660 Bagley Rd
Suite 201
Cleveland, OH 44130-3483
Phone (440) 368-1117

6469 Frank Ave NW
North Canton, OH 44720-8412
Phone (440) 368-1117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34010237OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie Pristas DO LLC Surgery CurrentSince May 1, 2024 Accepting new patients
Southwest General Medical Group Inc Surgery CurrentSince Nov 16, 2022 Accepting new patients
Outreach Professional Services, Inc CurrentSince Jul 1, 2018 Accepting new patients
Outreach Professional Services Inc CurrentSince Jul 1, 2018 Accepting new patients
Mercy Professional Care, LLC Surgery CurrentSince Jul 16, 2018 Accepting new patients
Southwest General Medical Group Inc CurrentSince Nov 16, 2022 Accepting new patients
Eon Care Services, LLC CurrentSince Nov 5, 2025 Accepting new patients
Western Reserve Hospital, LLC Past Accepting new patients

Locations

20451 Seneca Meadows Pkwy
Germantown, MD 20876
Phone (301) 515-2760

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

1330 Timken Mercy Dr NW
Ste 420
Canton, OH 44708
Phone (330) 458-4245

1330 Mercy Dr NW
Ste 418
Canton, OH 44708
Phone (330) 489-1454

2322 E 22nd St
Ste 207
Cleveland, OH 44115
Phone (216) 363-2578

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

18660 Bagley Rd
Ste 201
Middleburg Heights, OH 44130
Phone (216) 243-0100

18780 Bagley Rd
Ste 108
Middleburg Heights, OH 44130
Phone (440) 816-2330

18660 Bagley Rd
Bldg 1
Middleburg Heights, OH 44130
Phone (440) 234-8746

6469 Frank Ave NW
North Canton, OH 44720
Phone (440) 368-1117

Interoperability endpoints

  • Direct secure messaging: lpristas@direct.swgeneral.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1194951624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638269",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18780 BAGLEY RD STE 108",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303304",
            "telephone_number": "440-816-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISTAS",
        "first_name": "LESLIE",
        "middle_name": "LANG KELLER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34010237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpristas@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group, Inc.",
            "address_1": "2322 E 22nd St Ste 207",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.