Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Leslie Stanislaus Anewenah, MD

Individual provider Surgery Physician · NPI 1508110198

Dr. Leslie Stanislaus Anewenah, MD is a General Surgery in Decatur, Illinois. Graduated from New York Medical College in 2012, 14 years ago. Practices with Dlp Maria Parham Physician Practices LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Georgia, Illinois and Minnesota.

Years since qualifying
14
Trained at
New York Medical College
Licensed in
GA, IL, MN
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1730 E Lake Shore Dr
Decatur, IL 62521-3809
Phone: (217) 329-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036149330 (IL)
Surgery Physician Taxonomy 208600000X · Licence 79450 (GA)
Surgery Physician Taxonomy 208600000X · Licence 78387 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508110198
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 4, 2012
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2012 (14 years in practice)
Group practice Dlp Maria Parham Physician Practices Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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