NPIMap

Individual provider Active NPI

Leslie Dawn Wilke, D.O.

  • Pulmonary Disease Physician
  • N Charleston, SC
National Provider Identifier
1548460744
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
DO36663 Issued in SC
Practice address
9150 Medcom St. Ste B
N Charleston, SC 29406
Phone
(843) 871-4006
Fax
(843) 871-4074
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO36663 SC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X DO36663 SC
Sleep Medicine (Internal Medicine) Physician 207RS0012X DO36663 SC
Pulmonary Disease Physician 207RP1001X DO36663 SC Primary

Addresses

Primary practice location

9150 Medcom St. Ste B
N Charleston, SC 29406

Mailing address

9150 Medcom St. Ste B
N Charleston, SC 29406
Phone (843) 871-4006

Other practice location 1

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2450

Other identifiers 1

IdentifierTypeStateIssuer
366632MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140827002989 SC Practitioner - Internal MedicinePractitioner - Pulmonary Disease 4688860547 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Hospital IncGroup PAC ID 8426958919, 66 clinicians
Lowcountry Lung and Critical Care PAGroup PAC ID 8921173147, 8 clinicians

Practice addresses (Care Compare)

100 Callen Blvd
Summerville, SC 29486-2807
Phone (854) 529-3100

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 789-1620

9150 Medcom St
Suite B
N Charleston, SC 29406-9196
Phone (843) 572-3330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.87 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO36663SCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Francis Xavier Hospital, Inc. Critical Care Medicine CurrentSince Feb 3, 2025 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Roper St. Francis Mount Pleasant Hospital Current Accepting new patients
Roper St. Francis Mount Pleasant Hospital Critical Care Medicine CurrentSince Feb 3, 2025 Accepting new patients
Lowcountry Lung & Critical Care PA CurrentSince Aug 1, 2014 Accepting new patients
Roper Hospital, Inc. Critical Care Medicine CurrentSince Oct 1, 2024 Accepting new patients
Roper Hospital Inc. CurrentSince Oct 1, 2024 Accepting new patients
South Carolina Sleep Medicine LLC Pulmonary Disease CurrentSince Jan 13, 2017 Accepting new patients
Roper St Francis Hospital-Berkeley Inc. Critical Care Medicine CurrentSince Feb 3, 2025 Accepting new patients
Roper St Francis Hospital-Berkeley Inc. CurrentSince Feb 3, 2025 Accepting new patients
Roper Hospital, Inc. Internal Medicine Current Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. Internal Medicine CurrentSince Feb 3, 2025 Accepting new patients
Summerville Sleep Consultants LLC CurrentSince Aug 1, 2014 Accepting new patients
Roper St Francis Hospital-Berkeley Inc. Critical Care Medicine Past Accepting new patients

Locations

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

1938 Charlie Hall Blvd
Unit A
Charleston, SC 29414
Phone (843) 554-9313

8536 Palmetto Commerce Pkwy
Ste 501
Ladson, SC 29456
Phone (843) 203-2260

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

9150 Medcom St
Ste B
North Charleston, SC 29406
Phone (843) 572-3330

92 Springview Ln
Summerville, SC 29485
Phone (843) 871-4006

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

300 Callen Blvd
Ste 240
Summerville, SC 29486
Phone (843) 285-2500

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: leslie.wilke.p1@direct.llcc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1548460744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 MEDCOM ST. STE B",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-871-4006",
            "fax_number": "843-871-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 MEDCOM ST. STE B",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-871-4006",
            "fax_number": "843-871-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294011113",
            "country_code": "US",
            "telephone_number": "843-724-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKE",
        "first_name": "LESLIE",
        "middle_name": "DAWN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "DO36663",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "DO36663",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "SC",
            "license": "DO36663",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "DO36663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366632",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.