Active NPI
Leslie G Kirk, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Tucson, AZ
National Provider Identifier
1831171115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 05351
- Practice address
- 3945 E Paradise Falls Dr
Ste 201
Tucson, AZ 85712-6683 - Phone
- (520) 290-5888
- Fax
- (520) 290-5551
- NPI assigned
- Nov 14, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5351 | AZ | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 05351 | AZ | Primary |
Addresses
Primary practice location
3945 E Paradise Falls Dr
Ste 201
Tucson, AZ 85712-6683
Mailing address
3945 E Paradise Falls Dr
Ste 201
Tucson, AZ 85712-6683
Phone (520) 290-5888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201640 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05351 | AZ | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalists of Arizona, Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1831171115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 E PARADISE FALLS DR",
"address_2": "STE 201",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126683",
"telephone_number": "520-290-5888",
"fax_number": "520-290-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 E PARADISE FALLS DR",
"address_2": "STE 201",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857126683",
"telephone_number": "520-290-5888",
"fax_number": "520-290-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "LESLIE",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "5351",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "AZ",
"license": "05351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201640",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.