Active NPI
Leslie Mbah, ACNP
- Family Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP1049003
- Practice address
- 110 Irving St NW
Washington, DC 20010-3017 - Phone
- (202) 877-7000
- NPI assigned
- May 28, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP1049003 | DC | Primary |
Addresses
Primary practice location
110 Irving St NW
Washington, DC 20010-3017
Mailing address
42390 Nelsonville Ter
Brambleton, VA 20148-4981
Phone (301) 412-6142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
250 Josephs Dr
Yorktown, VA 23693-3405
Phone (757) 276-5020
2501 Parkers LN
FL 4
Alexandria, VA 22306-3209
Phone (757) 276-5020
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 276-5020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clark Palliative Medicine Group | Current | Accepting new patients | |
| All Hearts Care LLC | Current | Accepting new patients | |
| Clark Pulmonary Group | Current | Accepting new patients | |
| Clark Alliance Services Inc | Current | Accepting new patients | |
| Specialty Physicians of Northern Virginia, LLC | Current | Accepting new patients | |
| Medstar Heart Institute LLC | Current | Accepting new patients |
Locations
3007 Tilden St NW
Ste 5N
Washington, DC 20008
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
2501 Parkers Ln
#4
Alexandria, VA 22306
2501 Parkers Ln
Fl 4
Alexandria, VA 22306
Phone (757) 276-5020
500 J Clyde Morris Blvd
#4
Newport News, VA 23601
Phone (757) 276-5020
500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000
1850 Town Center Pkwy
Ste 463
Reston, VA 20190
Phone (571) 910-7878
1860 Town Center Dr
Ste G100
Reston, VA 20190
Phone (703) 433-8700
2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000
3575 Bridge Rd
Ste 8
Suffolk, VA 23435
Phone (757) 632-7107
Organizations & group practices 6
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Alexandria, VA
- NPI 1417680612
DC
-
- Surgery Physician
- Washington, DC
- NPI 1528345378
-
- In Home Supportive Care Agency
- Brambleton, VA
- NPI 1285392167
-
- Pulmonary Disease Physician
- Suffolk, VA
- NPI 1982337242
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Mount Vernon Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1598505638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42390 NELSONVILLE TER",
"city": "BRAMBLETON",
"state": "VA",
"postal_code": "201484981",
"telephone_number": "301-412-6142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200103017",
"telephone_number": "202-877-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAH",
"first_name": "LESLIE",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "NP1049003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.