Individual provider Active NPI

Teresa Kate Leslie Boitano, M.D.

  • Gynecologic Oncology Physician
  • Birmingham, AL
National Provider Identifier
1801250303
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD.36494 Issued in AL
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

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200331001994 AL Practitioner - Obstetrics/Gynecology 3173819745 Reassigns benefits to 3 organizations
I20240226000026 MS Practitioner - Gynecological Oncology 3173819745 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.36494ALMDGynecologic Oncology Physician
MS28738MSMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Inc CurrentSince Feb 1, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Vincentian Physician Services LLC CurrentSince Dec 1, 2023 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Obhg Alabama, P.C. CurrentSince Jun 12, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince May 1, 2020 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Feb 1, 2024 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

  • Direct secure messaging: tlboitano@direct.uabmedicine.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.