Individual provider Active NPI

Leslie R McGowan, MD

  • Urology Physician
  • Memphis, TN
National Provider Identifier
1710902440
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD0000014127 Issued in TN
Practice address
6027 Walnut Grove Suite 319
The Urology Group PC
Memphis, TN 38120-2128
Phone
(901) 767-8158
Fax
(901) 767-1555
NPI assigned
Jul 13, 2006
Last updated
May 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD0000014127 TN Primary

Addresses

Primary practice location

6027 Walnut Grove Suite 319
The Urology Group PC
Memphis, TN 38120-2128

Mailing address

6027 Walnut Grove Suite 319
The Urology Group PC
Memphis, TN 38120-2128
Phone (901) 767-8158

Other identifiers 7

IdentifierTypeStateIssuer
2569882OtherCIGNA
0340OtherMSBCBS
0063951OtherTNBCBS
112244001MedicaidAR
4025446OtherAETNA
81493OtherARBCBS
340005959OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111227000684 TN Practitioner - Urology 2264406883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Tennessee, HSC, College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Group PCGroup PAC ID 9739153354, 17 clinicians

Practice addresses (Care Compare)

7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1778
Phone (901) 767-8158

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.43 of 100Reported as group
Quality
92.86
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group PC Urology CurrentSince Apr 1, 1987 Accepting new patients
Urology Group, PC CurrentSince Apr 1, 1987 Accepting new patients
Urology Group PC Urology Current Accepting new patients
Baptist Memorial Medical Group Inc Past Accepting new patients

Locations

7550 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 542-6800

6029 Walnut Grove Rd
Ste 300
Memphis, TN 38120

Interoperability endpoints

  • Direct secure messaging: leslie.mcgowan.1@1407.direct.athenahealth.com
  • Direct secure messaging: lmcgowan29629@mlh.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1710902440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE SUITE 319",
            "address_2": "THE UROLOGY GROUP PC",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202128",
            "telephone_number": "901-767-8158",
            "fax_number": "901-767-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE SUITE 319",
            "address_2": "THE UROLOGY GROUP PC",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202128",
            "telephone_number": "901-767-8158",
            "fax_number": "901-767-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "LESLIE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "MD0000014127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2569882",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0340",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0063951",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112244001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4025446",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81493",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "340005959",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.