Individual provider Active NPI

Leslie Dean Porter, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1811906308
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G5494 Issued in TX
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

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
132548207MedicaidTX
8BR151OtherTXBCBS
132548203MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000528 TX Practitioner - Physical Medicine and Rehabilitation 8022178011 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G5494TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Physical Medicine & Rehabilitation CurrentSince Sep 1, 2008 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 1, 2008 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.