Audra A Leboo, MBCHB

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

60 266255 Issued in NY

Practice address

23 Ontario St
Honeoye Falls, NY 14472-1149

Phone

(585) 624-2121

Fax

(585) 624-7283

NPI assigned

Apr 21, 2009

Reactivated

Aug 16, 2024

Last updated

Aug 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 HI

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

Family Practice

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Home health agency, Hilo, HI, CCN 127312
• Dba Hawai'I Care Choices Hospice, Hilo, HI, CCN 121503
• Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005

Merit-based Incentive Payment System (MIPS)

Final score

79.51 of 100Reported as individual

Quality

65.38

Promoting interoperability

100

Improvement activities

40

Cost

66.32

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• HI PPO

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEEFCD/Endpoint/DEEFCD

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.

• Maika'I Health Corporation

  dba Maika'i Health Community Clinic

  • Community Health Clinic/Center
  • Hilo, HI
  • NPI 1891301016
  Medicare reassignment NPD
• Maika'I Health Corporation

  dba Maika'i Health Pharmacy Hilo

  • Clinic Pharmacy
  • Hilo, HI
  • NPI 1730846163
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• B.C.P., Inc.

  dba BAYADA Home Health Care

  • Home Health Agency
  • Hilo, HI
  • NPI 1851650618
  Care Compare affiliation
• Hilo Benioff Medical Center

  • General Acute Care Hospital
  • Hilo, HI
  • NPI 1780757856
  Care Compare affiliation
• Hospice of Hilo

  • Community Based Hospice Care Agency
  • Hilo, HI
  • NPI 1326048406
  Care Compare affiliation

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1114161239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201118",
            "telephone_number": "585-637-3905",
            "fax_number": "585-637-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ONTARIO ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721149",
            "telephone_number": "585-624-2121",
            "fax_number": "585-624-7283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 S Main St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "NY",
            "postal_code": "145691571",
            "country_code": "US",
            "telephone_number": "585-228-1195",
            "fax_number": "585-786-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBOO",
        "first_name": "AUDRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MBCHB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2024-08-16",
        "certification_date": "2020-04-16",
        "deactivation_date": "2024-08-01",
        "reactivation_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "60 266255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry T Kissack, O.D.
• Kendra Grace Knebel
• Jayne E Knowlton, OTD
• Michele Ann Lagana, O.D.
• Brian S Lang, PT
• Stephanie Christine Lipary, PHARMD
• Matthew Stephen Lombardozzi, PHARMD.
• Greg B Lowenguth, DDS
• Main Street Optical
• William Michael McGough, LCSW, CASAC

• Family Medicine Physician in Honeoye Falls, NY
• Providers in Honeoye Falls, 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 16, 2024; 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.