Individual provider Active NPI

Leslie J Kohman, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Syracuse, NY
National Provider Identifier
1295786382
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
146214 Issued in NY
Practice address
550 Harrison St
Ste 330
Syracuse, NY 13202-3188
Phone
(315) 464-1800
Fax
(315) 464-6252
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 146214 NY Primary
Hospice and Palliative Medicine (Surgery) Physician 2086H0002X 146214 NY

Addresses

Primary practice location

550 Harrison St
Ste 330
Syracuse, NY 13202-3188

Mailing address

550 Harrison St
Ste 330
Syracuse, NY 13202-3188
Phone (315) 464-1800

Other identifiers 1

IdentifierTypeStateIssuer
00622151MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100317000350 NY Practitioner - General Surgery 0941356174 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146214NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Surgical Associates, LLP Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 1, 1996 Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients

Locations

251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000

725 Irving Ave
Ste 401
Syracuse, NY 13210
Phone (315) 464-2878

Interoperability endpoints

  • Direct secure messaging: lkohman6977@direct.upstate.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1295786382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HARRISON ST",
            "address_2": "STE 330",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023188",
            "telephone_number": "315-464-1800",
            "fax_number": "315-464-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HARRISON ST",
            "address_2": "STE 330",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023188",
            "telephone_number": "315-464-1800",
            "fax_number": "315-464-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHMAN",
        "first_name": "LESLIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "146214",
            "primary": true
        },
        {
            "code": "2086H0002X",
            "taxonomy_group": "",
            "desc": "Surgery, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "146214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00622151",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.