Active NPI
Leslie N. Heddleston, MD
- Maternal & Fetal Medicine Physician
- Sioux Falls, SD
National Provider Identifier
1639240732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 3758
- Practice address
- 1417 S Cliff Ave
Ste 100
Sioux Falls, SD 57105-1063 - Phone
- (605) 322-8937
- Fax
- (605) 322-8938
- NPI assigned
- Nov 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 3758 | SD | Primary |
Addresses
Primary practice location
1417 S Cliff Ave
Ste 100
Sioux Falls, SD 57105-1063
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-7510
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639240732 | Other | SD | ARAZ/AMERICA'S PPO |
| 283761009502 | Other | SD | PREFERRED ONE |
| 774219300 | Medicaid | MN | |
| HP30795 | Other | SD | HEALTHPARTNERS |
| 1639240732 | Medicaid | IA | |
| 1658 | Other | SD | MIDLANDS CHOICE |
| 3758 | Other | SD | SD STATE LICENSE |
| G54151 | Other | CA | CALIFORNIA STATE LICENSE |
| 6200053 | Medicaid | SD | |
| 10025040700 | Medicaid | NE | |
| 3758 | Other | SD | DAKOTACARE |
| 4993265 | Other | SD | BLUE CROSS |
| 370624200 | Other | SD | DEPT OF LABOR |
| 57105AD06 | Other | SD | WPS TRICARE |
| 658C9HE | Other | MN | BLUE CROSS |
| 658C9HE | Other | MN | CC SYSTEMS/ BLUE PLUS |
| 924114229808 | Other | MN | PRIMEWEST |
| 1639240732 | Other | SD | MEDICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Maternal & Fetal Medicine | Current | Accepting new patients |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients |
Locations
323 SW 10th St
Madison, SD 57042
Phone (605) 256-6551
1417 S Cliff Ave
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-7580
Interoperability endpoints
- les.heddleston@avera.sdhealthlink.net
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Maternal & Fetal Medicine Physician
- Sioux Falls, SD
- NPI 1205808748
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1639240732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86370",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571186370",
"telephone_number": "605-322-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 S CLIFF AVE",
"address_2": "STE 100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051063",
"telephone_number": "605-322-8937",
"fax_number": "605-322-8938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDDLESTON",
"first_name": "LESLIE",
"middle_name": "N.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-11",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "SD",
"license": "3758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ/AMERICA'S PPO",
"identifier": "1639240732",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "283761009502",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "774219300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP30795",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639240732",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "1658",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SD STATE LICENSE",
"identifier": "3758",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE LICENSE",
"identifier": "G54151",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6200053",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025040700",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "3758",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4993265",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "370624200",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "57105AD06",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "658C9HE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CC SYSTEMS/ BLUE PLUS",
"identifier": "658C9HE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMEWEST",
"identifier": "924114229808",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1639240732",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.