Individual provider Active NPI

Leslie R Coker, MD

  • Dermatology Physician
  • Hampton, VA
National Provider Identifier
1275500449
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101225840 Issued in VA
Practice address
17 Manhattan SQ
Hampton, VA 23666-5843
Phone
(757) 838-8030
Fax
(757) 838-8413
NPI assigned
Mar 7, 2006
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101225840 VA Primary

Addresses

Primary practice location

17 Manhattan SQ
Hampton, VA 23666-5843

Mailing address

17 Manhattan SQ
Hampton, VA 23666-5843
Phone (757) 838-8030

Other identifiers 1

IdentifierTypeStateIssuer
010004055MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090512000301 VA Practitioner - Dermatology 6002964590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Virginia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Dermatology, Inc.Group PAC ID 7012071608, 5 clinicians

Practice addresses (Care Compare)

17 Manhattan SQ
Hampton, VA 23666-5843
Phone (757) 838-8030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.52 of 100Reported as group
Quality
94.99
Promoting interoperability
100
Improvement activities
40
Cost
53.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision324
Removal of tissue15
Removal of skin lesions2034
Removal of nail tissue40
Removal or shaving of skin growth138
Skin biopsy1068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101225840VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Dermatology, Inc. Dermatology CurrentSince Jul 2, 2003 Accepting new patients
Alexandria Associates in Dermatology, PC Dermatology Past Accepting new patients

Locations

17 Manhattan Sq
Hampton, VA 23666
Phone (757) 838-8030

Interoperability endpoints

  • Direct secure messaging: leecoker@aiderm.trimed.direct-ci.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, 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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1275500449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MANHATTAN SQ",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665843",
            "telephone_number": "757-838-8030",
            "fax_number": "757-838-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MANHATTAN SQ",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665843",
            "telephone_number": "757-838-8030",
            "fax_number": "757-838-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "LESLIE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101225840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010004055",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.