Individual provider Active NPI

Leslie A Bord, MD

  • Diagnostic Radiology Physician
  • Fairfax, VA
National Provider Identifier
1356375547
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101238494 Issued in VA
Practice address
2722 Merrilee Dr
Suite 230
Fairfax, VA 22031-4400
Phone
(703) 698-4483
Fax
(703) 573-0880
NPI assigned
Jul 11, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 0101238494 VA
Neuroradiology Physician 2085N0700X 0101238494 VA
Nuclear Radiology Physician 2085N0904X 0101238494 VA
Pediatric Radiology Physician 2085P0229X 0101238494 VA
Diagnostic Radiology Physician 2085R0202X 0101238494 VA Primary
Vascular & Interventional Radiology Physician 2085R0204X 0101238494 VA
Diagnostic Ultrasound Physician 2085U0001X 0101238494 VA

Addresses

Primary practice location

2722 Merrilee Dr
Suite 230
Fairfax, VA 22031-4400

Mailing address

PO Box 3650
Fairfax, VA 22038-3650
Phone (703) 698-4483

Other identifiers 1

IdentifierTypeStateIssuer
297103OtherVAAMERIGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051110000484 VA Practitioner - Diagnostic Radiology 0648229419 Reassigns benefits to 2 organizations
I20051115000298 DC Practitioner - Diagnostic Radiology 0648229419 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Howard University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ifrc LLCGroup PAC ID 2961829882, 135 clinicians
Fairfax Radiological ConsultantsGroup PAC ID 8628970324, 151 clinicians

Practice addresses (Care Compare)

100 Elden St
Suite 16
Herndon, VA 20170-4841
Phone (703) 698-4488

1600 N Beauregard St
Suite 200
Alexandria, VA 22311-1732
Phone (703) 698-4444

19455 Deerfield Ave
Suite 102
Leesburg, VA 20176-8102
Phone (703) 698-4488

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 698-4444

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6470

6211 Centreville Rd
Suite 400
Centreville, VA 20121-2641
Phone (703) 698-4488

8503 Arlington Blvd
Suite Ll100
Fairfax, VA 22031-4629
Phone (703) 698-4488

8926 Woodyard Rd
Suite 301
Clinton, MD 20735-4232
Phone (703) 698-4488

Merit-based Incentive Payment System (MIPS)

Final score
28.96 of 100Reported as group
Quality
16.43
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101238494VAMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Radiological Consultants Pediatric Radiology CurrentSince Aug 15, 2005 Accepting new patients
Inova Reston MRI Center LLC CurrentSince Aug 1, 2011 Accepting new patients
Inova Health Care Services CurrentSince Jan 21, 2019 Accepting new patients
Inova Reston MRI Center LLC Diagnostic Radiology CurrentSince Aug 1, 2011 Accepting new patients
Umass Memorial Radiology Phys Serv Diagnostic Radiology Past Accepting new patients

Locations

8926 Woodyard Rd
Ste 301
Clinton, MD 20735
Phone (301) 856-3670

22505 Landmark Ct
Ashburn, VA 20148
Phone (571) 472-6464

43490 Yukon Dr
Ste 204
Ashburn, VA 20147
Phone (571) 665-6960

2722 Merrilee Dr
Ste 230
Fairfax, VA 22031

4315 Chain Bridge Rd
Fairfax, VA 22030
Phone (703) 205-9792

8505 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (571) 226-5600

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

13575 Heathcote Blvd
Ste 200
Gainesville, VA 20155
Phone (703) 468-2590

100 Elden St
Ste 16M
Herndon, VA 20170
Phone (703) 481-9400

19455 Deerfield Ave
Ste 102
Leesburg, VA 20176
Phone (703) 858-0001

224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

11901 Baron Cameron Ave
Reston, VA 20190
Phone (703) 464-6480

4 Pidgeon Hill Dr
Sterling, VA 20165
Phone (703) 433-9230

Interoperability endpoints

  • Direct secure messaging: lbord24840@soc.inova.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1356375547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3650",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220383650",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 MERRILEE DR",
            "address_2": "SUITE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314400",
            "telephone_number": "703-698-4483",
            "fax_number": "703-573-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORD",
        "first_name": "LESLIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VA",
            "license": "0101238494",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101238494",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VA",
            "license": "0101238494",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "VA",
            "license": "0101238494",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101238494",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101238494",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "VA",
            "license": "0101238494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "297103",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.