Individual provider Active NPI

Leslie Richard Pyenson, M.D.

  • Internal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1598786782
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0026677 Issued in MD
Practice address
9220 Beech Hill Dr
Bethesda, MD 20817-1945
Phone
(301) 365-5710
Fax
(301) 365-0941
NPI assigned
Jul 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0026677 MD Primary
Internal Medicine Physician 207R00000X MD15621 DC
Internal Medicine Physician 207R00000X 0101030624 VA

Addresses

Primary practice location

9220 Beech Hill Dr
Bethesda, MD 20817-1945

Mailing address

9220 Beech Hill Dr
Bethesda, MD 20817-1945
Phone (301) 365-5710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD15621DCMDInternal Medicine Physician
D0026677MDMDInternal Medicine Physician
0101030624VAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598786782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 BEECH HILL DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171945",
            "telephone_number": "301-365-5710",
            "fax_number": "301-365-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BEECH HILL DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171945",
            "telephone_number": "301-365-5710",
            "fax_number": "301-365-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYENSON",
        "first_name": "LESLIE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0026677",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD15621",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101030624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.