Individual provider Active NPI

Lara Leonhardt, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1033305974
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M6983 Issued in TX
Practice address
3701 W Alabama St
Suite 350
Houston, TX 77027-5290
Phone
(713) 572-3200
Fax
(713) 572-3204
NPI assigned
Sep 24, 2007
Last updated
Oct 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M6983 TX Primary

Addresses

Primary practice location

3701 W Alabama St
Suite 350
Houston, TX 77027-5290

Mailing address

3701 W Alabama St
Suite 350
Houston, TX 77027-5290
Phone (713) 572-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240626001729 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3173603149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M6983TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chca Womans Hospital LP Past Accepting new patients
TCH Pediatric Associates, Inc Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12404/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17103/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1033305974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 W ALABAMA ST",
            "address_2": "SUITE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275290",
            "telephone_number": "713-572-3200",
            "fax_number": "713-572-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 W ALABAMA ST",
            "address_2": "SUITE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275290",
            "telephone_number": "713-572-3200",
            "fax_number": "713-572-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONHARDT",
        "first_name": "LARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M6983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.