Individual provider Active NPI

Leslie Cayco-Travis, DO

  • Obstetrics & Gynecology Physician
  • Anchorage, AK
National Provider Identifier
1750545299
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7723 Issued in AK
Practice address
3260 Providence Dr
Ste 425
Anchorage, AK 99508
Phone
(907) 561-7111
Fax
(907) 770-7891
NPI assigned
Jul 14, 2008
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7723 AK Primary

Addresses

Primary practice location

3260 Providence Dr
Ste 425
Anchorage, AK 99508

Mailing address

3260 Providence Dr
Ste 425
Anchorage, AK 99508-4661
Phone (907) 561-7111

Other identifiers 1

IdentifierTypeStateIssuer
1584073MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20130723000031 AK Practitioner - Obstetrics/Gynecology 0749421410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchorage Women's Clinic at Providence LLCGroup PAC ID 9032102124, 12 clinicians

Practice addresses (Care Compare)

3260 Providence Dr
Suite 425
Anchorage, AK 99508-4603
Phone (907) 561-7111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7723AKMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Womens Health PC Obstetrics & Gynecology CurrentSince Mar 9, 2016 Accepting new patients
Obhg Alaska, P.C. Obstetrics & Gynecology CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky Obstetrics & Gynecology Past Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

3260 Providence Dr
Ste 322
Anchorage, AK 99508
Phone (907) 563-5151

3260 Providence Dr
Ste 425
Anchorage, AK 99508
Phone (907) 561-7111

17101 Snowmobile Ln
Ste 201
Eagle River, AK 99577
Phone (907) 561-7111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10958/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1750545299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR",
            "address_2": "STE 425",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084661",
            "telephone_number": "907-561-7111",
            "fax_number": "907-770-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR",
            "address_2": "STE 425",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-561-7111",
            "fax_number": "907-770-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYCO-TRAVIS",
        "first_name": "LESLIE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "7723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1584073",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.