Individual provider Active NPI

Douglas Robert Leeman, PA-C, MPH

  • Medical Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1043390875
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9102132 Issued in FL
Practice address
10301 Hagen Ranch Rd
Suite 550
Boynton Beach, FL 33437-3724
Phone
(561) 739-5252
Fax
(561) 739-5255
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9102132 FL Primary

Addresses

Primary practice location

10301 Hagen Ranch Rd
Suite 550
Boynton Beach, FL 33437-3724

Mailing address

10383 Hagen Ranch Rd
Ste 100
Boynton Beach, FL 33437-3782
Phone (561) 739-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110126000259 FL Practitioner - Physician Assistant 6305025107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vein and Skin LLCGroup PAC ID 9830476712, 21 clinicians

Practice addresses (Care Compare)

7280 W Palmetto Park Rd
Suite 207
Boca Raton, FL 33433-3412
Phone (561) 368-1440

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9102132FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PBD&P Inc PastSince Oct 1, 2021 Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://pbd.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1043390875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10383 HAGEN RANCH RD",
            "address_2": "STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373782",
            "telephone_number": "561-739-5252",
            "fax_number": "561-739-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD",
            "address_2": "SUITE 550",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373724",
            "telephone_number": "561-739-5252",
            "fax_number": "561-739-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEMAN",
        "first_name": "DOUGLAS",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9102132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.