Individual provider Active NPI

Leslie Ann Falcon, M.D.

  • Pediatrics Physician
  • Kansas City, KS
National Provider Identifier
1447612619
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-42121 Issued in KS
Practice address
21 N 12TH St Ste 400
Kansas City, KS 66102-5172
Phone
(913) 342-2552
NPI assigned
Mar 25, 2016
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2023036075 MO
Pediatrics Physician 208000000X 04-42121 KS Primary

Addresses

Primary practice location

21 N 12TH St Ste 400
Kansas City, KS 66102-5172

Mailing address

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone (816) 923-5800

Other practice location 1

4835 State Ave
Kansas City, KS 66102-1747
Phone (816) 599-5020

Other practice location 2

2906 NW Vivion Rd
Riverside, MO 64150-1502
Phone (816) 599-5051

Other practice location 3

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone (816) 923-5800

Other names 1

  • Leslie Ann De la Fuente-Carrasquillo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20230927001745 KS Practitioner - Pediatric Medicine 0143518712 Reassigns benefits to 1 organization
I20230929000388 MO Practitioner - Pediatric Medicine 0143518712 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023036075MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services CurrentSince Sep 18, 2023 Accepting new patients
Swope Health Services CurrentSince Sep 18, 2023 Accepting new patients
Swope Health Services Current Accepting new patients
Swope Health Services CurrentSince Sep 18, 2023 Accepting new patients
Swope Health Services Past Accepting new patients

Locations

21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111

4835 State Ave
Kansas City, KS 66102
Phone (816) 599-5020

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

2906 NW Vivion Rd
Riverside, MO 64150
Phone (816) 599-5050

Organizations & group practices 5

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1447612619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302807",
            "telephone_number": "816-923-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST STE 400",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025172",
            "telephone_number": "913-342-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4835 State Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661021747",
            "country_code": "US",
            "telephone_number": "816-599-5020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2906 NW Vivion Rd",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "MO",
            "postal_code": "641501502",
            "country_code": "US",
            "telephone_number": "816-599-5051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641302807",
            "country_code": "US",
            "telephone_number": "816-923-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALCON",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2023036075",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-42121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "DE LA FUENTE-CARRASQUILLO",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.