Active NPI
Leslie James Allison, MD
- Family Medicine Physician
- Hammond, IN
National Provider Identifier
1265405534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J7408
- Practice address
- 6920 Indianapolis Blvd
Hammond, IN 46324-2206 - Phone
- (219) 763-8112
- Fax
- (219) 764-3251
- NPI assigned
- Feb 8, 2006
- Last updated
- Mar 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | J7408 | TX | Primary |
Addresses
Primary practice location
6920 Indianapolis Blvd
Hammond, IN 46324-2206
Mailing address
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001-4624
Phone (972) 720-7820
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111937202 | Other | TX | MEDICAID |
| 111937204 | Medicaid | TX | |
| 164204301 | Medicaid | TX | |
| 21643 | Other | TX | UTMB |
| 429053 | Other | WELLCARE | |
| 5272075 | Other | TX | AETNA |
| 01072872A | Other | IN | STATE LICENSE |
| 121372 | Other | TX | SUPERIOR HEALTH |
| 4119831 | Other | TX | BLUE LINK # |
| 00U53H | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14770 Memorial Dr
Suite 100
Houston, TX 77079-5252
Phone (281) 496-7333
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
dba Doctors Clinic Houston
- Family Medicine Physician
- Houston, TX
- NPI 1861446304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1265405534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 SPECTRUM DR",
"address_2": "STE 1200W",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014624",
"telephone_number": "972-720-7820",
"fax_number": "214-775-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6920 INDIANAPOLIS BLVD",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463242206",
"telephone_number": "219-763-8112",
"fax_number": "219-764-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "LESLIE",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J7408",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "111937202",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111937204",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164204301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTMB",
"identifier": "21643",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "429053",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5272075",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "01072872A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR HEALTH",
"identifier": "121372",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE LINK #",
"identifier": "4119831",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00U53H",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.