Individual provider Active NPI

Holly Michele Leeman, M.D.

  • Obstetrics & Gynecology Physician
  • Weymouth, MA
National Provider Identifier
1063619260
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
252569 Issued in MA
Practice address
90 Libbey Parkway
Suite 105
Weymouth, MA 02189
Phone
(339) 201-4120
Fax
(339) 201-4122
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 252569 MA Primary

Addresses

Primary practice location

90 Libbey Parkway
Suite 105
Weymouth, MA 02189

Mailing address

125 Birds Hill Ave
Needham, MA 02492-4240
Phone (781) 708-6279

Other identifiers 1

IdentifierTypeStateIssuer
110094185AMedicaidMA

Other names 1

  • Dr. Holly Michele Balestrieri Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20121105000394 MA Practitioner - Obstetrics/Gynecology 5092805358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians

Practice addresses (Care Compare)

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as group
Quality
88.12
Promoting interoperability
71
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252569MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Massachusetts - Direct, P.C. CurrentSince Feb 1, 2026 Accepting new patients
Coastal Medical Associates CurrentSince Nov 1, 2021 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc PastSince Feb 5, 2018 Accepting new patients
Crown Obstetrics and Gynecology Obstetrics & Gynecology Past Accepting new patients
Crown Obstetrics & Gynecology P.C. Obstetrics & Gynecology PastSince Apr 9, 2023 Accepting new patients
South Shore Hospital Inc. Past Accepting new patients

Locations

55 Fogg Rd
#81
Weymouth, MA 02190

90 Libbey Park
Ste 105
Weymouth, MA 02189
Phone (339) 201-4120

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

689 Bedford St
Whitman, MA 02382
Phone (781) 447-4001

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

Organizations & group practices 6

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1063619260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BIRDS HILL AVE",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024924240",
            "telephone_number": "781-708-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY PARKWAY",
            "address_2": "SUITE 105",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "02189",
            "telephone_number": "339-201-4120",
            "fax_number": "339-201-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEMAN",
        "first_name": "HOLLY",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "252569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110094185A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "BALESTRIERI",
            "middle_name": "MICHELE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.