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LESLIE J DAVIS D.O.
NPI 1083145601
Pediatrics in Saint Louis, MO

Active since March 24, 2017PECOS Enrolled
1465 S GRAND BLVD RM 2717, 1465 SOUTH GRAND BLVD, RM 2717, SAINT LOUIS, MO 63104(314) 577-5634(314) 577-5616 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, Oct 26, 2020, Jul 21, 2020 and 1 more (4 updates tracked since 2017).

About Leslie J Davis D.o. NPPES

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

LESLIE J DAVIS D.O. (NPI 1083145601) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2020020189) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083145601
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLESLIE J DAVISCredential: D.O.
Location Address1465 S GRAND BLVD RM 2717, 1465 SOUTH GRAND BLVD, RM 2717Saint Louis, MO 63104-1003
Mailing Address1465 S Grand Blvd Rm 2717, Ssm Health Cardinal Glennon Children's HospitalSaint Louis, MO 63104-1003 · (314) 577-5634 · Fax (314) 577-5616
Phone(314) 577-5634
Fax(314) 577-5616
Sole ProprietorNo
Enumeration DateMarch 24, 2017
Last NPPES UpdateMarch 11, 20214 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1083145601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2020020189
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1465 S GRAND BLVD RM 2717, Saint Louis, MO 63104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Leslie J Davis D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

MR. RYAN ANTHONY WONG MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070
NINOSHKA MENDONCA MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
DOMINIC BISESI DO
Emergency Medicine
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070
CHRISTOPHER PATRICK CALLAHAN MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
DR. KAYKAY SAN DO
Pediatrics
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
AMANI FIRDOUZE ASHRAF MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
MRS. ELIZABETH MCCARTER NOONAN M.D.
Pediatrics
1465 S GRAND BLVD RM 2717, 1465 SOUTH GRAND BLVD, RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
DR. LILIA BURNS MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634

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 Davis's NPI number?

The NPI number for Leslie Davis is 1083145601. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Where is Leslie Davis located?

Leslie Davis practices at 1465 S Grand Blvd Rm 2717 1465 South Grand Blvd, Rm 2717, Saint Louis, MO 63104. The listed phone number is (314) 577-5634.

What is Leslie Davis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Leslie Davis enrolled in Medicare?

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

What insurance does Leslie Davis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Leslie Davis 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 Davis was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.