Individual provider Active NPI

Leslie Tar, MD

  • Rheumatology Physician
  • Port Charlotte, FL
National Provider Identifier
1720004484
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME69438 Issued in FL
Practice address
22226 Westchester Blvd
Port Charlotte, FL 33952-9202
Phone
(941) 625-3402
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME69438 FL Primary

Addresses

Primary practice location

22226 Westchester Blvd
Port Charlotte, FL 33952-9202

Mailing address

22226 Westchester Blvd
Port Charlotte, FL 33952-9202
Phone (941) 625-3402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090408000637 FL Practitioner - RheumatologyPractitioner - Allergy/Immunology 4688739709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Allergy/Immunology
Education
University of Rochester School of Medicine and Dentistry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22226 Westchester Blvd
Port Charlotte, FL 33952-9202
Phone (941) 625-3402

Hospital & facility affiliations

  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
  • Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.38
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME69438FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Arthritis Treatment Centers LLC CurrentSince Jan 1, 2009 Accepting new patients

Locations

22226 Westchester Blvd
Pt Charlotte, FL 33952
Phone (941) 244-8612

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEFDCA/Endpoint/IEFDCA

Organizations & group practices 1

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 4

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1720004484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22226 WESTCHESTER BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529202",
            "telephone_number": "941-625-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22226 WESTCHESTER BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529202",
            "telephone_number": "941-625-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAR",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME69438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.