DR. LESLIE ANN DERVAN MD
NPI 1003077025
Pediatrics - Pediatric Critical Care Medicine in Seattle, WA

Active since June 23, 2008PECOS Enrolled
4800 SAND POINT WAY NE, MB.10.620, SEATTLE, WA 98105(206) 987-0293 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Leslie Ann Dervan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LESLIE ANN DERVAN MD (NPI 1003077025) is an individual pediatric critical care medicine provider in Seattle, Washington, licensed in Washington (60205855) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003077025
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. LESLIE ANN DERVANCredential: MD
Location Address4800 SAND POINT WAY NE, MB.10.620Seattle, WA 98105-3901
Mailing Address4800 Sand Point Way Ne, Mb.10.620Seattle, WA 98105-3901 · (206) 987-0293
Sole ProprietorNo
Enumeration DateJune 23, 2008
Last NPPES UpdateJuly 24, 2013
NPI 1003077025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in WA · 60205855
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

4800 SAND POINT WAY NE, Seattle, WA 98105

Other Names 1

Former Name (1)Dr. Leslie Ann Mccall Md

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Leslie Ann Dervan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Specialist
4800 SAND POINT WAY NE
SEATTLE, WA 98105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Dervan's NPI number?

The NPI number for Leslie Dervan is 1003077025. It was assigned to this individual provider in the NPPES registry on June 23, 2008. The provider is also known as Dr. Leslie Ann Mccall MD.

Where is Leslie Dervan located?

Leslie Dervan practices at 4800 Sand Point Way NE Mb.10.620, Seattle, WA 98105. The listed phone number is (206) 987-0293.

What is Leslie Dervan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Leslie Dervan enrolled in Medicare?

Yes. Leslie Dervan is registered in the Medicare PECOS enrollment system.

What insurance does Leslie Dervan accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Leslie Dervan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leslie Dervan was last updated on July 24, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.