Individual provider Active NPI

Leigh Soule Mahlum, MD

  • Obstetrics & Gynecology Physician
  • Gretna, LA
National Provider Identifier
1063973519
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
336512 Issued in LA
Practice address
515 Westbank Expy
Gretna, LA 70053-5644
Phone
(504) 366-7233
Fax
(504) 362-5529
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 336512 LA Primary

Addresses

Primary practice location

515 Westbank Expy
Gretna, LA 70053-5644

Mailing address

1100 Poydras Street
2500 Energy Centre
New Orleans, LA 70163-3548
Phone (504) 527-9951

Other practice location 1

8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548
Phone (414) 955-4575

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230828003298 LA Practitioner - Obstetrics/Gynecology 0648600148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-2427

Hospital & facility affiliations

  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
68.02
Improvement activities
40
Cost
76.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Orleans Physician Services Inc CurrentSince Jul 1, 2023 Accepting new patients
West Jefferson Holdings, LLC Past Accepting new patients
Newco, Women'S Medical Center Obstetrics & Gynecology PastSince Jul 25, 2005 Accepting new patients

Locations

515 Westbank Expy
Ste 7
Gretna, LA 70053
Phone (504) 366-7233

515 Westbank Expy
Gretna, LA 70053
Phone (504) 366-7233

3909 Lapalco Blvd
Ste 200
Harvey, LA 70058
Phone (504) 349-6216

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

Networks

  • LA PPO C-SNP

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1063973519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 POYDRAS STREET",
            "address_2": "2500 ENERGY CENTRE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701633548",
            "telephone_number": "504-527-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535644",
            "telephone_number": "504-366-7233",
            "fax_number": "504-362-5529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 W Watertown Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263548",
            "country_code": "US",
            "telephone_number": "414-955-4575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHLUM",
        "first_name": "LEIGH",
        "middle_name": "SOULE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "336512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.