Michael Rayner Leedom, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

D68922 Issued in MD

Practice address

22 S Greene St
Emergency Dept
Baltimore, MD 21201-1544

Phone

(410) 328-8025

Fax

(410) 328-8028

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, PA, CT, IA, GA, FL6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 6

Specialty

Emergency Medicine

Education

Drexel University College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians SPPSGroup PAC ID 0648594036, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Inc Hospital, Baltimore, MD, CCN 210008
• Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
• Direct secure messaging: mleedom37136@direct.mdmercy.com
• FHIR API: https://api.platform.athenahealth.com/1267/brand/2/csg/121/fhir/r4
• Direct secure messaging: mleedom43833@direct.umm.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Physicians SPPS

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1760885958
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Maryland-Frederick PC

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1093322257

  Emergency Medicine

  Medicare reassignment NPD
• University of Maryland Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1144271743
  Medicare reassignment NPD
• Upper Chesapeake Emergency Medicine Physicians, LLC

  • Emergency Medicine Physician
  • Bel Air, MD
  • NPI 1285854026
  Medicare reassignment NPD
• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Medicare reassignment NPD
• Chestnut Hill Clinic Company, LLC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1508936071
  Medicare reassignment NPD
• Einstein Practice Plan Inc

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1760434468
  Medicare reassignment NPD
• Emergency Medicine Associates P.a., P.C.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1134117393

  MD

  Medicare reassignment NPD
• Phoebe Putney Memorial Hospital Inc

  • General Acute Care Hospital
  • Albany, GA
  • NPI 1992789721
  Medicare reassignment NPD
• Phoebe Sumter Medical Center, Inc.

  • General Acute Care Hospital
  • Americus, GA
  • NPI 1609001312
  Medicare reassignment NPD
• Phoenixville Clinic Company LLC

  • Family Medicine Physician
  • Phoenixville, PA
  • NPI 1891866182

  Emergency Medicine

  Medicare reassignment NPD
• Pottstown Clinic Company LLC

  • Family Medicine Physician
  • Pottstown, PA
  • NPI 1649341934

  Emergency Medicine

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Medical Center Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1144282583
  Care Compare affiliation
• Southeast Iowa Regional Medical Center, Inc.

  • General Acute Care Hospital
  • West Burlington, IA
  • NPI 1134168263
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1003951823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "address_2": "EMERGENCY MEDICINE, 6TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-8025",
            "fax_number": "410-328-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "EMERGENCY DEPT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-8025",
            "fax_number": "410-328-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDOM",
        "first_name": "MICHAEL",
        "middle_name": "RAYNER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D68922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valdeatha Lee, LCSW-C
• Valerie Lee
• Yeonjae Lee
• Yoo Jin Lee
• Young in Lee, DDS
• Surbhi Leekha, M.B.B.S.
• Sharon Leeland
• Tiffanie Leeman, MD
• Matthew Scott Leeney, PA
• Ashlee Leeper

• Emergency Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Emergency Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.