Active NPI
Leslie Shook Ledbetter, MD
- Dermatology Physician
- The Woodlands, TX
National Provider Identifier
1477518538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- K5331
- Practice address
- 9303 Pinecroft Dr
Suite 150
The Woodlands, TX 77380-3180 - Phone
- (281) 363-5050
- Fax
- (281) 363-5020
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | K5331 | TX | Primary |
Addresses
Primary practice location
9303 Pinecroft Dr
Suite 150
The Woodlands, TX 77380-3180
Mailing address
9303 Pinecroft Dr
Suite 150
The Woodlands, TX 77380-3180
Phone (281) 363-5050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00052517 | Other | RAILROAD MEDICARE | |
| 8A7261 | Other | TX | BLUE CROSS BLUE SHIELD |
| 7767274 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040331001496 | TX | Practitioner - Dermatology | 5890787709 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Texas Medical School at Houston, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Woodlands Dermatology Associates PA
Practice addresses (Care Compare)
9303 Pinecroft Dr
Suite 150
The Woodlands, TX 77380-3183
Phone (281) 363-5050
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 931 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 469 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Woodlands Dermatology Associates PA | Dermatology | Current | Accepting new patients |
| Greg Krenek, M.D., P.a. | Dermatology | Past | Accepting new patients |
Locations
9303 Pinecroft Dr
Ste 150
The Woodlands, TX 77380
Phone (281) 363-5050
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.
-
- Dermatology Physician
- The Woodlands, TX
- NPI 1619919958
Dermatology, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318723200000",
"number": "1477518538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9303 PINECROFT DR",
"address_2": "SUITE 150",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803180",
"telephone_number": "281-363-5050",
"fax_number": "281-363-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9303 PINECROFT DR",
"address_2": "SUITE 150",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773803180",
"telephone_number": "281-363-5050",
"fax_number": "281-363-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDBETTER",
"first_name": "LESLIE",
"middle_name": "SHOOK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2011-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "K5331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00052517",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8A7261",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7767274",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.