Leslie Glen Massoglia, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

43602 Issued in MN

Practice address

4845 Safari CT N
Eagan, MN 55122-2617

Phone

(507) 461-3813

Fax

(952) 431-5334

NPI assigned

Dec 14, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 10

Other names 1

• Dr. Leslie Glen Ahlers Former name

Medicare fee-for-service enrollment

Enrolled in MN, MT, NC, NY4 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 4

Specialty

Family PracticeAlso: Hospice/Palliative Care

Education

State University of New York at Buffalo School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SCL Health Medical Group - Billings LLCGroup PAC ID 9638491574, 291 clinicians

Solace Health Medical Group IncGroup PAC ID 9830540624, 122 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• SCL Health Medical Group - Billings LLC

  dba St Vincent Healthcare

  • Clinic/Center
  • Billings, MT
  • NPI 1508289703

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Solace Health Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Redwood City, CA
  • NPI 1801669924

  MN, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Doctors at Home PC

  • Family Medicine Physician
  • Minnetonka, MN
  • NPI 1841043296

  Multi-Specialty

  Medicare reassignment NPD
• Healtheast Medical Research Institute

  dba HealthEast Vadnais Heights Clinic

  • Clinic/Center
  • Vadnais Heights, MN
  • NPI 1639125503

  Multi-Specialty

  Medicare reassignment NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  NC

  Medicare reassignment
• Healtheast Medical Research Institute

  dba HealthEast Professional Services

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1508191552

  Multi-Specialty

  NPD
• Healtheast Medical Research Institute

  • Family Medicine Physician
  • Saint Paul, MN
  • NPI 1720248966

  Multi-Specialty

  NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1275291288

  Multi-Specialty

  NPD
• SCL Health Medical Group - Billings, LLC

  dba Billings - DPP (Diabetes Prevention Program)

  • Endocrinology, Diabetes & Metabolism Physician
  • Billings, MT
  • NPI 1003701558

  Multi-Specialty

  NPD
• SCL Health Medical Group - Billings, LLC

  dba Heights Clinic - Walk In

  • General Practice Physician
  • Billings, MT
  • NPI 1447866538

  Multi-Specialty

  NPD
• Cornerstone Health and Wellness Center PLLC

  • Chiropractor
  • Apple Valley, MN
  • NPI 1871891523

  Multi-Specialty

  NPD (past)
• Danielle Golden, Crna, PA

  dba The Remedy

  • Adult Mental Health Clinic/Center
  • Vadnais Heights, MN
  • NPI 1598954687

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SCL Health Montana

  dba Intermountain Health St Vincent Regional Hospital

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1083655997
  Care Compare affiliation
• St. Vincent Healthcare

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1396916276
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1992780712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 SAFARI CT N",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222617",
            "telephone_number": "507-461-3813",
            "fax_number": "651-305-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 SAFARI CT N",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222617",
            "telephone_number": "507-461-3813",
            "fax_number": "952-431-5334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 Talmage Cir Ste 216",
            "address_purpose": "LOCATION",
            "city": "Vadnais Heights",
            "state": "MN",
            "postal_code": "55110",
            "country_code": "US",
            "telephone_number": "951-431-5330",
            "fax_number": "952-431-5334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSOGLIA",
        "first_name": "LESLIE",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "43602",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MN",
            "license": "43602",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MN",
            "license": "43602",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MN",
            "license": "43602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "117R2BA, 015K3BA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SVHP",
            "identifier": "20153",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0107062, 39-09161",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNCARE",
            "identifier": "117R2BA, 015K3BA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "NA9501028427",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080172550",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNCARE-U",
            "identifier": "140964",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "564110100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP33926",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "363606405",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "AHLERS",
            "middle_name": "GLEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Lynn Marz, LMT
• Mariam Marzouk, SOLE
• Alexis Mashl, PT
• Michele Christen Mask
• Sara Stutsman Massaro, PT
• Andrea Grace Matejka
• Danielle R Matthies, RD, CD, LD
• Molly K Mattison, PT
• Emily Mattson, COTA
• Amber Max, LPCC

• Hospice and Palliative Medicine (Family Medicine) Physician in Eagan, MN
• Providers in Eagan, MN by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.