Leila Kirdani, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

206090 Issued in NY

Practice address

1759 Empire Blvd
Webster, NY 14580-2117

Phone

(585) 787-4251

Fax

(585) 787-4251

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1073540811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 EMPIRE BLVD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802117",
            "telephone_number": "585-787-4251",
            "fax_number": "585-787-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 EMPIRE BLVD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802117",
            "telephone_number": "585-787-4251",
            "fax_number": "585-787-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRDANI",
        "first_name": "LEILA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "206090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "2060903W CFP",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01977233",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel King, DPT
• Jessica Ann King, FNP
• Jeremy D Kingsley, PT, DPT
• Kelly Ann Kinney, LPN
• Cameron Kirby, DPT
• Aaron M Kirsch, PHARMD
• Marilyn Klim, PT
• Laura Kline, LPN
• Matthew L Knapp, D.C., PHARM.D.
• Emma Koehn

• Family Medicine Physician in Webster, NY
• Providers in Webster, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.