Individual provider Active NPI

Leiren Pantages

  • Gynecologic Oncology Physician
  • Pittsburgh, PA
National Provider Identifier
1013201409
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MA054899 Issued in PA
Practice address
300 Halket St Ste 1750
Suite 1750
Pittsburgh, PA 15213-3108
Phone
(412) 641-5411
NPI assigned
Jun 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X MA054899 PA Primary

Addresses

Primary practice location

300 Halket St Ste 1750
Suite 1750
Pittsburgh, PA 15213-3108

Mailing address

300 Halket St Ste 1750
Suite 1750
Pittsburgh, PA 15213-3108

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leiren.d.pantages@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110707000325 PA Practitioner - Physician Assistant 3173701539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA054899PAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Gynecologic Oncology CurrentSince Jul 29, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 29, 2018 Accepting new patients

Locations

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

300 Halket St
Ste 1750
Pittsburgh, PA 15213
Phone (412) 641-5411

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1013201409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HALKET ST STE 1750",
            "address_2": "SUITE 1750",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HALKET ST STE 1750",
            "address_2": "SUITE 1750",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-641-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTAGES",
        "first_name": "LEIREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "MA054899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leiren.d.pantages@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.