LESLIE MENDOZA TEMPLE (M.D.) – Family Medicine Physician, NPI 1043266307

LESLIE MENDOZA TEMPLE (M.D.) is a healthcare provider. based in Evanston, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036108717 (IL). The NPI Number for LESLIE MENDOZA TEMPLE (M.D.) is 1043266307

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE MENDOZA TEMPLE (M.D.)
NPI
1043266307
Phone
(847) 570-1206
Address
2650 RIDGE AVE
Enumeration Date
26 May 2006
Last Update Date
11 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
1052307535
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20040421000758
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes

Contacts

Secure Messaging
lmendozatemple18640@direct.northshore.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

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Provider Addresses for LESLIE MENDOZA TEMPLE (M.D.)

  • Evanston Hospital, 2650, Ridge Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON HOSPITAL RM 1210

    EVANSTON, IL 602011718

    Phone: (847) 570-1206

    Fax: (847) 570-1248

    Type: Mailing

  • Glenview Park Center, 2400, Chestnut Avenue, Glenview, Northfield Township, Cook County, Illinois, 60026, United States

    SUITE A

    GLENVIEW, IL 600268321

    Phone: (847) 657-3540

    Fax: (847) 657-3521

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Lilly USA, LLC ($142).

Total Amount

$195

General + Research + Ownership

Payments

5

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040421000758IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes428301$0
99215Established patient office or other outpatient visit, 40-54 minutes257201$0
99205New patient office or other outpatient visit, 60-74 minutes4242$0
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
99422Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

How is LESLIE MENDOZA TEMPLE (M.D.) identified in CMS data?
CMS-hosted NPPES data lists LESLIE MENDOZA TEMPLE (M.D.) with NPI 1043266307.
Can I rely on LESLIE MENDOZA TEMPLE (M.D.) being an active provider?
As of the registry snapshot, LESLIE MENDOZA TEMPLE (M.D.) is marked active.
What is LESLIE MENDOZA TEMPLE (M.D.) best known for clinically?
Directory data describes LESLIE MENDOZA TEMPLE (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for LESLIE MENDOZA TEMPLE (M.D.)?
LESLIE MENDOZA TEMPLE (M.D.)'s geographic hint is Evanston, Illinois in our summary view.
Is the information about LESLIE MENDOZA TEMPLE (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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