Leslie A. Konkin, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G24534 Issued in CA

Practice address

1501 Oakdale Rd Ste 301
Modesto, CA 95355-3382

Phone

(209) 571-5071

Fax

(209) 577-1157

NPI assigned

Aug 14, 2006

Last updated

Apr 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

University of California, San Francisco School of Medicine, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Associates of Northern California a Medical GroupGroup PAC ID 1254239965, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.62 of 100Reported as group

Quality

71.38

Promoting interoperability

100

Improvement activities

40

Cost

74.02

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5678/brand/1/csg/1/fhir/r4
• Direct secure messaging: leslie.konkin.1@5678.direct.athenahealth.com

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.

• Orthopedic Associates of Northern California a Medical Group

  • Orthopaedic Surgery Physician
  • Chico, CA
  • NPI 1235108077
  Medicare reassignment Care Compare group NPD
• Leslie Alex Konkin, M.D., Inc.

  • Orthopaedic Surgery Physician
  • Modesto, CA
  • NPI 1427061993
  Authorized official Same address or phone
• Modesto Orthopedic Medical Group

  dba Modesto Orthopedic Group

  • Orthopaedic Surgery Physician
  • Modesto, CA
  • NPI 1326575770
  NPD

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586044800000",
    "number": "1629081195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576158",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953576158",
            "telephone_number": "209-605-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OAKDALE RD STE 301",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553382",
            "telephone_number": "209-571-5071",
            "fax_number": "209-577-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONKIN",
        "first_name": "LESLIE",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G24534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "00G245341",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9703018",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Koinonia Foster Homes Inc
• Leah Kollmeyer
• Arnav Reddy Konda
• Bosseba Kong, LCS 16696
• Tyler Kong
• Alena Kononenko
• Jahoon Koo, M.D.
• Neboneet Koochou
• Shruthi R Kooturu, MD
• Brent Kornish

• Orthopaedic Surgery Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; 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.

Verify at the official NPI Registry.