Active NPI
Leslie J Klaff, MD
- Endocrinology, Diabetes & Metabolism Physician
- Renton, WA
National Provider Identifier
1720009764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD00021403
- Practice address
- 723 SW 10TH St
#100
Renton, WA 98057 - Phone
- (425) 251-1720
- Fax
- (425) 251-1723
- NPI assigned
- Jul 23, 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD00021403 | WA | Primary |
Addresses
Primary practice location
723 SW 10TH St
#100
Renton, WA 98057
Mailing address
723 SW 10TH St
#100
Renton, WA 98057
Phone (425) 251-1720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053883 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00021403 | WA | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720009764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 SW 10TH ST",
"address_2": "#100",
"city": "RENTON",
"state": "WA",
"postal_code": "98057",
"telephone_number": "425-251-1720",
"fax_number": "425-251-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 SW 10TH ST",
"address_2": "#100",
"city": "RENTON",
"state": "WA",
"postal_code": "98057",
"telephone_number": "425-251-1720",
"fax_number": "425-251-1723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAFF",
"first_name": "LESLIE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WA",
"license": "MD00021403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053883",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.