Individual provider Active NPI

Leslie M Randall, MD

  • Gynecologic Oncology Physician
  • Fairfax, VA
National Provider Identifier
1821054602
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
0101268132 Issued in VA
Practice address
8081 Innovation Park Dr Ste 775
Fairfax, VA 22031-4867
Phone
(571) 308-1830
Fax
(571) 308-1843
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101268132 VA
Gynecologic Oncology Physician 207VX0201X 0101268132 VA Primary

Addresses

Primary practice location

8081 Innovation Park Dr Ste 775
Fairfax, VA 22031-4867

Mailing address

5801 Postal Rd Unit 81310
Cleveland, OH 44181-2112
Phone (301) 340-8339

Other practice location 1

1300 E Marshall St
Richmond, VA 23298-5054
Phone (804) 828-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200305003009 VA Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 0840216016 Reassigns benefits to 3 organizations
I20240927003038 DC Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 0840216016 Reassigns benefits to 3 organizations
I20250312002743 MD Practitioner - Gynecological Oncology 0840216016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of Louisville School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, shared by 24 NPIs, 1,821 clinicians
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

3300 Gallows Rd
Falls Church, VA 22042-3307

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960

46179 Westlake Dr
Potomac Falls, VA 20165-5874
Phone (703) 430-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101268132VAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Oct 1, 2024 Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients
Inova Health Care Services CurrentSince Oct 1, 2024 Accepting new patients
Inova Health Care Services CurrentSince Oct 1, 2024 Accepting new patients
Inova Health Care Services Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology Current Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients

Locations

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

5801 Postal Rd
Unit 81310
Cleveland, OH 44181

8081 Innovation Park Dr
Ste 775
Fairfax, VA 22031
Phone (571) 472-1660

8081 Innovation Park Dr
Fairfax, VA 22031
Phone (571) 472-0606

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

46179 Westlake Dr
Ste 240
Potomac Falls, VA 20165
Phone (703) 368-1969

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

9105 Stony Point Dr
Richmond, VA 23235
Phone (804) 828-4409

1300 E Marshall St
Richmond, VA 23298
Phone (804) 828-3144

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

Interoperability endpoints

  • Direct secure messaging: leslie.randall.p1@direct.cwcare.nextgenshare.com
  • Direct secure messaging: lrandall16523@direct.memorialcare.org

Organizations & group practices 8

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 7

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1821054602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 POSTAL RD UNIT 81310",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441812112",
            "telephone_number": "301-340-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR STE 775",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-308-1830",
            "fax_number": "571-308-1843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985054",
            "country_code": "US",
            "telephone_number": "804-828-9080",
            "fax_number": "804-828-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "LESLIE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101268132",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "VA",
            "license": "0101268132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.