Individual provider Active NPI

Jared Edward Leber, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mesa, AZ
National Provider Identifier
1104270024
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD000949 Issued in AZ
Practice address
2855 E Brown Rd
Mesa, AZ 85213-4213
Phone
(602) 345-0063
Fax
(877) 267-7965
NPI assigned
Apr 17, 2016
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD000949 AZ Primary

Addresses

Primary practice location

2855 E Brown Rd
Mesa, AZ 85213-4213

Mailing address

3465 N Orchard
Mesa, AZ 85213-2090
Phone (602) 686-9594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200212002419 AZ Practitioner - Podiatry 5193053106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2855 E Brown Rd
Suite 18
Mesa, AZ 85213-4216
Phone (602) 345-0063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue83
Removal of skin lesions1-10
Removal of nail tissue236
Removal or shaving of skin growth107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD000949AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebel Enterprise LLC Single Specialty CurrentSince May 19, 2022 Accepting new patients

Locations

1831 E Queen Creek Rd
Chandler, AZ 85286
Phone (480) 216-4395

1831 E Queen Creek Rd
Ste 119
Chandler, AZ 85286

2855 E Brown Rd
Ste 18
Mesa, AZ 85213
Phone (480) 844-0335

6104 E Brown Rd
Ste 102
Mesa, AZ 85205
Phone (480) 357-4400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1104270024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 N ORCHARD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852132090",
            "telephone_number": "602-686-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134213",
            "telephone_number": "602-345-0063",
            "fax_number": "877-267-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBER",
        "first_name": "JARED",
        "middle_name": "EDWARD",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-17",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "POD000949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.