Individual provider Active NPI

Dawn Johnson Leonard, M.D.

  • Surgery Physician
  • Wheaton, MD
National Provider Identifier
1063490167
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0063740 Issued in MD
Practice address
Holy Cross Health Cancer Center
11006 Veirs Mill Rd - Suite L1
Wheaton, MD 20902
Phone
(301) 681-4422
Fax
(301) 557-1361
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD30734 DC
Surgery Physician 208600000X C1-0023818 DE
Surgery Physician 208600000X D0063740 MD Primary

Addresses

Primary practice location

Holy Cross Health Cancer Center
11006 Veirs Mill Rd - Suite L1
Wheaton, MD 20902

Mailing address

11006 Veirs Mill Rd Ste L1
Wheaton, MD 20902-2587
Phone (301) 681-4422

Other practice location 1

4701 Ogletown Stanton Rd Ste 1500
Newark, DE 19713-7022
Phone (302) 623-4343

Other practice location 2

3800 Reservoir Rd NW
Washington, DC 20007
Phone (301) 260-3292

Other practice location 3

5401 Old Court Rd
Randallstown, MD 21133-5103
Phone (410) 701-4488

Other names 1

  • Dr. Dawn Nicole Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060123000940 MD Practitioner - General Surgery 9234153776 Reassigns benefits to 2 organizations
I20180209000097 DC Practitioner - General Surgery 9234153776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Howard University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30734DCMDSurgery Physician
D0063740MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc Surgery CurrentSince Jul 1, 2009 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jul 1, 2009 Accepting new patients
Professional Services of Holy Cross CurrentSince Jun 3, 2024 Accepting new patients
Professional Services of Holy Cross CurrentSince Jun 3, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc CurrentSince Apr 17, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Ste 4
Baltimore, MD 21215
Phone (410) 601-5547

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

11006 Veirs Mill Rd
Ste L1
Wheaton, MD 20902
Phone (301) 681-4422

Organizations & group practices 8

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1063490167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11006 VEIRS MILL RD STE L1",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022587",
            "telephone_number": "301-681-4422",
            "fax_number": "301-557-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOLY CROSS HEALTH CANCER CENTER",
            "address_2": "11006 VEIRS MILL RD - SUITE L1",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "20902",
            "telephone_number": "301-681-4422",
            "fax_number": "301-557-1361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Ogletown Stanton Rd Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197137022",
            "country_code": "US",
            "telephone_number": "302-623-4343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Reservoir Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20007",
            "country_code": "US",
            "telephone_number": "301-260-3292",
            "fax_number": "301-260-3293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5401 Old Court Rd",
            "address_purpose": "LOCATION",
            "city": "Randallstown",
            "state": "MD",
            "postal_code": "211335103",
            "country_code": "US",
            "telephone_number": "410-701-4488",
            "fax_number": "410-496-8722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "DAWN",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DC",
            "license": "MD30734",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C1-0023818",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0063740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "JOHNSON",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheaton, MD

Sources for this page

Verify at the official NPI Registry.