Individual provider Active NPI

John M Leskovac, CRNA

  • Certified Registered Nurse Anesthetist
  • Youngstown, OH
National Provider Identifier
1871546416
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN281961 Issued in OH
Practice address
500 Gypsy LN
Youngstown, OH 44504-1315
Phone
(330) 884-3679
Fax
(330) 884-3691
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN281961 OH Primary

Addresses

Primary practice location

500 Gypsy LN
Youngstown, OH 44504-1315

Mailing address

4665 Douglas Cir NW
Ste 100
Canton, OH 44718-3673
Phone (330) 759-9350

Other identifiers 1

IdentifierTypeStateIssuer
2335913MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707000860 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527045582 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum AnesthesiaGroup PAC ID 9638326432, 65 clinicians

Practice addresses (Care Compare)

4319 Executive Cir NW
Canton, OH 44718-2999
Phone (330) 526-0530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.79 of 100Reported as group
Quality
71.01
Improvement activities
40
Cost
82.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN281961OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Deuble Heart & Vascular Hospital, LLC CurrentSince Dec 11, 2020 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Aug 18, 2015 Accepting new patients
Optimum Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 27, 2023 Accepting new patients
Ams Ohio PLLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2019 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
The Gastroenterology Clinic & Endoscopy Center Inc CurrentSince Jul 1, 2019 Accepting new patients
Midwest Physician Anesthesia Services, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Deperro Plastic Surgery, LLC Past Accepting new patients

Locations

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

4665 Douglas Cir NW
Ste 100
Canton, OH 44718
Phone (330) 499-5700

4319 Executive Cir NW
Canton, OH 44718
Phone (330) 526-0530

2600 6th St SW
Ste A2800
Canton, OH 44710

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

1622 E Market St
Warren, OH 44483
Phone (330) 399-7215

3893 E Market St
Warren, OH 44484
Phone (330) 856-4000

465 N Cleveland Ave
Ste 150
Westerville, OH 43082
Phone (614) 562-1546

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

1031 W Western Reserve Rd
Youngstown, OH 44514
Phone (330) 746-7691

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 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1871546416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 DOUGLAS CIR NW",
            "address_2": "STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183673",
            "telephone_number": "330-759-9350",
            "fax_number": "330-759-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "330-884-3679",
            "fax_number": "330-884-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESKOVAC",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN281961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335913",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.