Individual provider Active NPI

Leslie E Chupp, M.D.

  • Obstetrics & Gynecology Physician
  • Midland, TX
National Provider Identifier
1962562579
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H6119 Issued in TX
Practice address
1211 W Illinois Ave
Midland, TX 79701-6158
Phone
(432) 262-3822
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H6119 TX Primary

Addresses

Primary practice location

1211 W Illinois Ave
Midland, TX 79701-6158

Mailing address

2420 W Pierce St
Ste 200
Carlsbad, NM 88220-3518
Phone (432) 262-3822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20160302002728 NM Practitioner - Obstetrics/Gynecology 7719035039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1010 Spruce St
Espanola, NM 87532-2724
Phone (505) 367-0360

Hospital & facility affiliations

  • Presbyterian Santa Fe Medical Center Hospital, Santa Fe, NM, CCN 320090
  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6119TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine CurrentSince Mar 14, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince Mar 14, 2022 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
Femvida, PLLC Obstetrics & Gynecology Past Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1010 Spruce St
Espanola, NM 87532
Phone (505) 367-0340

4801 Beckner Rd
Ste 2650
Santa Fe, NM 87507
Phone (505) 772-2000

4801 Beckner Rd
#2650
Santa Fe, NM 87507

Interoperability endpoints

  • Direct secure messaging: lchupp211309@direct.phs.org

Organizations & group practices 5

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1962562579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W PIERCE ST",
            "address_2": "STE 200",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203518",
            "telephone_number": "432-262-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W ILLINOIS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016158",
            "telephone_number": "432-262-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUPP",
        "first_name": "LESLIE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.