NPIMap

Individual provider Active NPI

Benjamin Curtis Leslie, D.O.

  • Internal Medicine Physician
  • Petersburg, WV
National Provider Identifier
1902165228
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2830 Issued in WV
Practice address
65 Hospital Dr
Suite 102 Petersburg
Petersburg, WV 26847-9549
Phone
(304) 257-2527
Fax
(304) 257-1469
NPI assigned
May 7, 2012
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2830 WV Primary

Addresses

Primary practice location

65 Hospital Dr
Suite 102 Petersburg
Petersburg, WV 26847-9549

Mailing address

PO Box 158
Petersburg, WV 26847-0158
Phone (304) 257-2527

Other identifiers 2

IdentifierTypeStateIssuer
3910007251MedicaidWV
2830OtherWVWV LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150401000686 WV Practitioner - Internal Medicine 4789901760 Reassigns benefits to 3 organizations
Practice locations: Petersburg, WV

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grant Memorial Hospital IncGroup PAC ID 4183082712, 38 clinicians

Practice addresses (Care Compare)

117 Hospital Dr
Petersburg, WV 26847-9566
Phone (304) 257-1026

65 Hospital Dr
Petersburg, WV 26847-9549
Phone (304) 257-2527

PO Box
Suite 158
Petersburg, WV 26847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.17 of 100Reported as group
Quality
82.07
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2830WVMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Memorial Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
South Branch Hospitalist and Internal Medicine Group PLLC Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
Grant Memorial Hospital CurrentSince Sep 1, 2019 Accepting new patients
Grant Memorial Hospital Current Accepting new patients
Grant Memorial Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
Grant Memorial Hospital CurrentSince Sep 1, 2019 Accepting new patients

Locations

117 Hospital Dr
Petersburg, WV 26847
Phone (304) 257-2527

65 Hospital Dr
#102
Petersburg, WV 26847
Phone (304) 257-2527

65 Hospital Dr
Ste 102
Petersburg, WV 26847
Phone (304) 257-2507

Interoperability endpoints

  • Direct secure messaging: phys_benjamin_c_leslie@yourcarecommunity.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1902165228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268470158",
            "telephone_number": "304-257-2527",
            "fax_number": "304-257-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HOSPITAL DR",
            "address_2": "SUITE 102 PETERSBURG",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479549",
            "telephone_number": "304-257-2527",
            "fax_number": "304-257-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "BENJAMIN",
        "middle_name": "CURTIS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910007251",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV LICENSE",
            "identifier": "2830",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

Verify at the official NPI Registry.