Active NPI
Teresa Kate Leslie Boitano, M.D.
- Gynecologic Oncology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- MD.36494
- Practice address
- 625 19TH St S
Birmingham, AL 35233-1900 - Phone
- (205) 934-4226
- NPI assigned
- Apr 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | MS28738 | MS | |
| Gynecologic Oncology Physician | 207VX0201X | MD.36494 | AL | Primary |
Addresses
Primary practice location
625 19TH St S
Birmingham, AL 35233-1900
Mailing address
1700 6TH Ave S
Birmingham, AL 35233-1802
Phone (505) 221-3726
Other names 1
- Teresa Kate Leslie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of New Mexico School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
961 S Gloster St
North Mississippi Medical Center Hematology
Tupelo, MS 38801-6343
Phone (662) 377-4550
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of the uterus | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.36494 | AL | MD | Gynecologic Oncology Physician |
| MS28738 | MS | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Vincentian Physician Services LLC | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| Obhg Alabama, P.C. | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| University of Alabama at Birmingham | Past | Accepting new patients | |
| Amory Surgery Clinic, PLLC | Past | Accepting new patients |
Locations
1700 6th Ave S
Birmingham, AL 35233
Phone (205) 934-4277
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
808 Varsity Dr
Tupelo, MS 38801
Phone (662) 377-2386
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
961 S Gloster St
Tupelo, MS 38801
Phone (601) 844-9166
Interoperability endpoints
- tlboitano@direct.uabmedicine.org
- teresaboitano@nmhs.medalliesdirect.net
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1851698310
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
- Neurology Physician
- Tupelo, MS
- NPI 1659006609
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- Surgery Physician
- Amory, MS
- NPI 1821441080
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1801250303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331802",
"telephone_number": "505-221-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331900",
"telephone_number": "205-934-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOITANO",
"first_name": "TERESA",
"middle_name": "KATE LESLIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-11",
"last_updated": "2024-01-24",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MS",
"license": "MS28738",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "AL",
"license": "MD.36494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "LESLIE",
"middle_name": "KATE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.