Active NPI
Leslie Chamberlain Mohlman, MD
- Internal Medicine Physician
- Bristol, RI
National Provider Identifier
1265433262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD 11472
- Practice address
- 1180 Hope St
Bristol, RI 02809-1126 - Phone
- (401) 253-8900
- Fax
- (401) 253-3131
- NPI assigned
- Aug 2, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD 11472 | RI | Primary |
| Pediatrics Physician | 208000000X | MD 11472 | RI |
Addresses
Primary practice location
1180 Hope St
Bristol, RI 02809-1126
Mailing address
1180 Hope St
Bristol, RI 02809-1126
Phone (401) 253-8900
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000027854 | Other | RI | B/C |
| 469658 | Other | RI | TUFTS HEALTH PLAN |
| AA13616 | Other | RI | HARVARD PILGRIM HEALTH |
| 30177 | Other | RI | NEIGHBORHOOD HEALTH |
| 9003583 | Medicaid | RI | |
| 411956 | Other | RI | BCHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- 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
- Internal Medicine
- Education
- State University of New York at Buffalo School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1180 Hope St
Bristol, RI 02809-1126
Phone (401) 253-8900
Hospital & facility affiliations
- The Miriam Hospital
- Newport Hospital
- Rhode Island Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 11472 | RI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Ri Inc | Internal Medicine | Current | Accepting new patients |
| Medical Associates of Rhode Island Inc. | Internal Medicine | Past | Accepting new patients |
Locations
1180 Hope St
Bristol, RI 02809
Phone (401) 253-8900
Interoperability endpoints
- leslie.mohlman@maori.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Bristol, RI
- NPI 1538161161
-
- Internal Medicine Physician
- Bristol, RI
- NPI 1568463115
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1265433262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 HOPE ST",
"city": "BRISTOL",
"state": "RI",
"postal_code": "028091126",
"telephone_number": "401-253-8900",
"fax_number": "401-253-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 HOPE ST",
"city": "BRISTOL",
"state": "RI",
"postal_code": "028091126",
"telephone_number": "401-253-8900",
"fax_number": "401-253-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHLMAN",
"first_name": "LESLIE",
"middle_name": "CHAMBERLAIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD 11472",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD 11472",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C",
"identifier": "0000027854",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "469658",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "AA13616",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "30177",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9003583",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCHIP",
"identifier": "411956",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.