Active NPI
Leon G Shingledecker, DPM
- Foot & Ankle Surgery Podiatrist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103001046
- Practice address
- 8101 Hinson Farm Rd
Suite 301
Alexandria, VA 22306-3403 - Phone
- (703) 765-4321
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103001046 | VA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC002084L | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 200007 | LA |
Addresses
Primary practice location
8101 Hinson Farm Rd
Suite 301
Alexandria, VA 22306-3403
Mailing address
8101 Hinson Farm Rd
Suite 301
Alexandria, VA 22306-3403
Phone (703) 765-4321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9300619 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1979
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3901 Houma Blvd
Suite 204
Metairie, LA 70006-2930
Phone (504) 888-9403
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 201 |
| Removal of skin lesions | 12 |
| Removal of nail tissue | 437 |
| Removal or shaving of skin growth | 274 |
| Skin biopsy | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103001046 | VA | MD | Foot & Ankle Surgery Podiatrist |
| 00436 | IA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpmlgsprla LLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
3901 Houma Blvd
Ste 204
Metairie, LA 70006
Phone (504) 888-9403
Organizations & group practices 1
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270684800000",
"number": "1033165642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 HINSON FARM RD",
"address_2": "SUITE 301",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063403",
"telephone_number": "703-765-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 HINSON FARM RD",
"address_2": "SUITE 301",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063403",
"telephone_number": "703-765-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINGLEDECKER",
"first_name": "LEON",
"middle_name": "G",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2010-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103001046",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC002084L",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "LA",
"license": "200007",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9300619",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.