Individual provider Active NPI

Tal O. Leyshon, M.D.

  • Anesthesiology Physician
  • Saint Albans, VT
National Provider Identifier
1659598738
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0420012469 Issued in VT
Practice address
8 Lake Mont Dr
Saint Albans, VT 05478-6003
Phone
(734) 255-0409
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101249348 VA
Student in an Organized Health Care Education/Training Program 390200000X 2901018572 MI
Anesthesiology Physician 207L00000X 0420012469 VT Primary

Addresses

Primary practice location

8 Lake Mont Dr
Saint Albans, VT 05478-6003

Mailing address

8 Lake Mont Dr
Saint Albans, VT 05478-6003
Phone (734) 255-0409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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

Enrollment IDStateProvider typePAC IDDetails
I20140130001762 HI Practitioner - Anesthesiology 8123290590 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Medical Consultants LLCGroup PAC ID 2264696681, 21 clinicians
Straub Clinic and HospitalGroup PAC ID 6305759754, 420 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 531-1116

550 S Beretania St
Suite 701
Honolulu, HI 96813-2496
Phone (808) 531-1116

888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000

91 -2127 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone (808) 531-1116

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0420012469VTMDAnesthesiology Physician
2901018572MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Jan 5, 2026 Accepting new patients
Pec Anesthesia LLC CurrentSince Jul 16, 2018 Accepting new patients
Island Medical Consultants, LLC Anesthesiology CurrentSince Feb 1, 2014 Accepting new patients
Kapiolani Medical Specialists CurrentSince Jan 5, 2026 Accepting new patients
Straub Clinic & Hospital CurrentSince Jan 5, 2026 Accepting new patients
Central Vermont Anesthesia Associates, Inc. Anesthesiology Past Accepting new patients

Locations

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

1401 S Beretania St
Ste 200
Honolulu, HI 96814
Phone (808) 312-6700

1329 Lusitana St
Ste 604
Honolulu, HI 96813
Phone (808) 351-1116

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1301 Punchbowl St
#C
Honolulu, HI 96813
Phone (808) 538-9011

1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1659598738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LAKE MONT DR",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786003",
            "telephone_number": "734-255-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LAKE MONT DR",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786003",
            "telephone_number": "734-255-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYSHON",
        "first_name": "TAL",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101249348",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "2901018572",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VT",
            "license": "0420012469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.