Leela Athalye, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

20A11943 Issued in CA

Practice address

360 San Miguel Dr Ste 501
Newport Beach, CA 92660-7831

Phone

(949) 720-1170

NPI assigned

Sep 16, 2011

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Dermatology

Education

Michigan State University College of Osteopathic Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Dermatology, Inc.Group PAC ID 1850395070, 27 clinicians

Orange Coast Dermatology IncGroup PAC ID 3274699442, 3 clinicians

Seaside Dermatology IncGroup PAC ID 4284898834, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.66 of 100Reported as group

Promoting interoperability

92

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Orange Coast Dermatology, Inc

  • Procedural Dermatology Physician
  • Mission Viejo, CA
  • NPI 1790937647
  Medicare reassignment Care Compare group NPD
• Seaside Dermatology, Inc.

  dba Seaside Dermatology and Skin Cancer Center

  • MOHS-Micrographic Surgery Physician
  • Irvine, CA
  • NPI 1710245634
  Medicare reassignment Care Compare group NPD
• Island Dermatology, Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1508815556
  Medicare reassignment Care Compare group
• Advanced Institute of Dermatology, Inc

  • Dermatology Physician
  • Palm Desert, CA
  • NPI 1184919011
  Medicare reassignment NPD
• Dr Annie Liu Corp

  dba DermCafe

  • Dermatology Physician
  • Laguna Beach, CA
  • NPI 1144043647
  NPD (past)
• Howard G. Lang, M.D., Inc

  • MOHS-Micrographic Surgery Physician
  • Irvine, CA
  • NPI 1912212267
  NPD (past)

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1093097818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "499-720-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 501",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607831",
            "telephone_number": "949-720-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHALYE",
        "first_name": "LEELA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A11943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamerou Asrat, M.D.
• Arthur Astorino Jr., MD
• Michelle Aszterbaum, MD
• Monica L Aszterbaum, MD
• Kari Marie Atencio, BCBA
• Atlas Care
• Atlas Medical Supplies and Equipment, Inc
• Ats Health
• Christina Attiken, MPT
• Atul Grover, M.D., Inc.

• Dermatology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.