MS. LESLEY ILENE BALBIRNIE M.D.
NPI 1063151595
Internal Medicine in Warwick, RI

Q: What is Lesley Balbirnie's NPI number?

The NPI number for Lesley Balbirnie is 1063151595. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Q: What is Lesley Balbirnie's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Lesley Balbirnie was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 02, 2022PECOS EnrolledAccepts Medicare Assignment

455 TOLL GATE RD, WARWICK, RI 02886(401) 737-7010(401) 736-4546 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Feb 10, 2023 (2 updates tracked since 2023).

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About Ms. Lesley Ilene Balbirnie M.d. NPPES

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

MS. LESLEY ILENE BALBIRNIE M.D. (NPI 1063151595) is an individual internal medicine provider in Warwick, Rhode Island, licensed in Rhode Island (MD20547) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063151595

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMS. LESLEY ILENE BALBIRNIECredential: M.D.

Location Address455 TOLL GATE RDWarwick, RI 02886-2759

Mailing Address455 Toll Gate RdWarwick, RI 02886-2759

Phone(401) 737-7010

Fax(401) 736-4546

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 2, 2022

Last NPPES UpdateApril 3, 20252 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1063151595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in RI · MD20547

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

455 TOLL GATE RD, Warwick, RI 02886

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lesley Ilene Balbirnie M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173032893

PECOS Enrollment IDI20250604001338

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410008

Location100 Kenyon AveWakefield, RI 02879 · Washington County

Emergency services Birthing friendly

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410009

Location455 Toll Gate RdWarwick, RI 02886 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. STERLING LEAF MALISH M.D.

Internal Medicine