Active NPI
Leslie Joseph Dunaway, M.D.
- Family Medicine Physician
- Louisville, KY
National Provider Identifier
1427052158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23379
- Practice address
- 10216 Taylorsville Rd
Ste 400
Louisville, KY 40299-3616 - Phone
- (502) 267-5456
- Fax
- (502) 267-5488
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 23379 | KY | Primary |
Addresses
Primary practice location
10216 Taylorsville Rd
Ste 400
Louisville, KY 40299-3616
Mailing address
PO Box 950272
Louisville, KY 40295-0272
Phone (502) 238-2801
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64233794 | Medicaid | KY | |
| 50032124 | Other | KY | PASSPORT |
| 000000708708 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23379 | KY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1427052158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950272",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950272",
"telephone_number": "502-238-2801",
"fax_number": "502-238-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10216 TAYLORSVILLE RD",
"address_2": "STE 400",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402993616",
"telephone_number": "502-267-5456",
"fax_number": "502-267-5488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNAWAY",
"first_name": "LESLIE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "23379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64233794",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50032124",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000708708",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.