Active NPI
Leslie Anthony Crescimano, MD
- Urology Physician
- Oakland Park, FL
National Provider Identifier
1508931791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME0031471
- Practice address
- 5601 N Dixie Hwy Ste 320
Oakland Park, FL 33334-4146 - Phone
- (954) 491-0030
- Fax
- (954) 771-7515
- NPI assigned
- Nov 22, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME0031471 | FL | Primary |
Addresses
Primary practice location
5601 N Dixie Hwy Ste 320
Oakland Park, FL 33334-4146
Mailing address
2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7342
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048845300 | Medicaid | FL | |
| 93617 | Other | FL | BCBS FL |
| 002121500 | Medicaid | FL | |
| 1192990 | Other | FL | WELLCARE |
| 4122333 | Other | FL | AETNA ID # |
| P00471484 | Other | FL | RAILROAD MEDICARE |
| 200963 | Other | FL | AVMED PROVIDER ID # |
| P0003146 | Other | FL | FLORIDA HEALTHCARE PLUS |
| 10347 | Other | FL | MEDICA HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20080205000683 | FL | Practitioner - Urology | 1153404777 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0031471 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Past | Accepting new patients |
Locations
1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202
2160 Colonial Blvd
Fort Myers, FL 33907
730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119
Interoperability endpoints
- leslie.crescimano.1@16705.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Radiation Oncology Physician
- Fort Myers, FL
- NPI 1134109747
FL, Urology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1508931791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 COLONIAL BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071410",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 N DIXIE HWY STE 320",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333344146",
"telephone_number": "954-491-0030",
"fax_number": "954-771-7515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESCIMANO",
"first_name": "LESLIE",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME0031471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "048845300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "93617",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002121500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1192990",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID #",
"identifier": "4122333",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00471484",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED PROVIDER ID #",
"identifier": "200963",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA HEALTHCARE PLUS",
"identifier": "P0003146",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA HEALTH",
"identifier": "10347",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.