Active NPI
Leslie Dean Porter, M.D.
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- G5494
- Practice address
- 909 N Washington Ave
Dallas, TX 75246-1520 - Phone
- (214) 820-9637
- Fax
- (214) 820-9339
- NPI assigned
- Aug 5, 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | G5494 | TX | Primary |
Addresses
Primary practice location
909 N Washington Ave
Dallas, TX 75246-1520
Mailing address
909 N Washington Ave
Dallas, TX 75246-1520
Phone (214) 820-9637
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132548207 | Medicaid | TX | |
| 8BR151 | Other | TX | BCBS |
| 132548203 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lporter225207@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G5494 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Health Texas Provider Network | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Healthtexas Provider Network-Physiatric Medicine Associates | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
3500 Gaston Ave
Dallas, TX 75246
411 N Washington Ave
Ste 4000
Dallas, TX 75246
Phone (214) 820-2521
909 N Washington Ave
Dallas, TX 75246
Phone (214) 820-8819
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
1650 W College St
#320
Grapevine, TX 76051
Phone (817) 329-2524
Interoperability endpoints
- lporter225207@direct.sw.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
Physical Medicine & Rehabilitation
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Physical Medicine & Rehabilitation Physician
- Frisco, TX
- NPI 1730149253
-
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
- NPI 1912902511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1811906308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 N WASHINGTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461520",
"telephone_number": "214-820-9637",
"fax_number": "214-820-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N WASHINGTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461520",
"telephone_number": "214-820-9637",
"fax_number": "214-820-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "LESLIE",
"middle_name": "DEAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "G5494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132548207",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8BR151",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132548203",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lporter225207@direct.sw.org",
"affiliation": "N",
"address_1": "909 N Washington Ave",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752461520",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.