Active NPI
Dean F. Leslie, M.D.
- Diagnostic Radiology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 33031
- Practice address
- 3050 Montvale Dr Ste a
Springfield, IL 62704 - Phone
- (217) 726-8096
- NPI assigned
- May 8, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2018032071 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 36345 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | 81149 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | 33031 | KY | Primary |
Addresses
Primary practice location
3050 Montvale Dr Ste a
Springfield, IL 62704
Mailing address
3050 Montvale Dr Ste a
Springfield, IL 62704-6924
Phone (217) 726-8096
Other practice location 1
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-0690
Other practice location 2
2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-0690
Other practice location 3
200 Abraham Flexner Way
Louisville, KY 40202-1818
Phone (502) 587-4231
Other practice location 4
404 Fountain Street
Albert Lea, MN 56007-2406
Phone (507) 373-2384
Other practice location 5
200 Abraham Flexner Way
Louisville, KY 40202-1818
Phone (502) 587-4231
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64330319 | Medicaid | KY | |
| 200103160 | Medicaid | IN | |
| 9097732-00 | Medicaid | FL | |
| 000000062492 | Other | KY | ANTHEM BLUE FACET |
| 060795401 | Medicaid | TX | |
| 1055713 | Medicaid | KY | |
| 2136898 | Medicaid | OH | |
| 00G820990 | Medicaid | CA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | leslied@clinicalradiologist.com | Direct | |
| Direct Messaging Address | dleslie1852626@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, CO, MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Mayo Medical School, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southeast Minnesota RegionMayo Clinic Health System-Southwest Minnesota RegionMayo Clinic Health System-Lake CityMayo Clinic Health System-Northwest Wisconsin Region Inc
Practice addresses (Care Compare)
1000 1St Dr NW
Austin, MN 55912-2941
Phone (507) 433-7351
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3311
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 373-2384
500 W Grant St
Lake City, MN 55041-1143
Phone (651) 345-3321
701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone (651) 267-5000
800 Medical Ctr Dr
Fairmont, MN 56031-4575
Phone (507) 238-8555
825 Mankato Ave
Winona, MN 55987-4866
Phone (507) 457-4149
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018032071 | MO | MD | Diagnostic Radiology Physician |
| 81149 | WI | MD | Diagnostic Radiology Physician |
| 36345 | MN | MD | Surgery Physician |
Practice roles
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261
825 Mankato Ave
Winona, MN 55987
Phone (507) 454-4925
1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166
1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000
1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
530 W Cairns St
Ellsworth, WI 54011
Phone (715) 273-5061
700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
13025 8th St
Osseo, WI 54758
Phone (715) 597-2575
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
310 W Main St
Sparta, WI 54656
Phone (608) 269-1700
Interoperability endpoints
- dleslie1852626@ehrdirect.mayoclinicmsg.org
Organizations & group practices 26
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.
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
MN
-
- Critical Access Hospital
- Lake City, MN
- NPI 1538113022
-
- Critical Access Hospital
- Menomonie, WI
- NPI 1154372944
-
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
MN
-
- Critical Access Hospital
- Bloomer, WI
- NPI 1700837812
-
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
-
- Critical Access Hospital
- Osseo, WI
- NPI 1912958026
-
- Critical Access Hospital
- Cannon Falls, MN
- NPI 1063435410
-
- Multi-Specialty Clinic/Center
- Red Wing, MN
- NPI 1114453883
WI
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Red Wing, MN
- NPI 1164400024
-
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1629027578
-
- General Acute Care Hospital
- Albert Lea, MN
- NPI 1346258100
-
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1801874227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1619926664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 MONTVALE DR STE A",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627046924",
"telephone_number": "217-726-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 MONTVALE DR STE A",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62704",
"telephone_number": "217-726-8096"
}
],
"practiceLocations": [
{
"address_1": "7900 Lees Summit Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641391236",
"country_code": "US",
"telephone_number": "816-404-0690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 Holmes St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641082640",
"country_code": "US",
"telephone_number": "816-404-0690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Abraham Flexner Way",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021818",
"country_code": "US",
"telephone_number": "502-587-4231",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "404 Fountain Street",
"address_purpose": "LOCATION",
"city": "Albert Lea",
"state": "MN",
"postal_code": "560072406",
"country_code": "US",
"telephone_number": "507-373-2384",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Abraham Flexner Way",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021818",
"country_code": "US",
"telephone_number": "502-587-4231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESLIE",
"first_name": "DEAN",
"middle_name": "F.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2018032071",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "36345",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "81149",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "33031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64330319",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200103160",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9097732-00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE FACET",
"identifier": "000000062492",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060795401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1055713",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2136898",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G820990",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "leslied@clinicalradiologist.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3050 Montvale Dr Ste A",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "62704",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dleslie1852626@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "404 Fountain Street",
"city": "Albert Lea",
"state": "MN",
"country_code": "US",
"postal_code": "560072406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.