Jason E Leedy, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

35085266 Issued in OH

Practice address

2060 Lander Rd
Mayfield Heights, OH 44124-4100

Phone

(440) 461-6100

Fax

(440) 461-1440

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Plastic and Reconstructive Surgery

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jason E Leedy MD LLCGroup PAC ID 3779514849, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Jason E Leedy MD LLC

  • Plastic and Reconstructive Surgery Physician
  • Mayfield HTS, OH
  • NPI 1346319092
  Medicare reassignment Care Compare group Authorized official
• Cpsi Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Mayfield HTS, OH
  • NPI 1801569348
  NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1154416857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440610660",
            "telephone_number": "440-854-0217",
            "fax_number": "440-461-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 LANDER RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244100",
            "telephone_number": "440-461-6100",
            "fax_number": "440-461-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDY",
        "first_name": "JASON",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35085266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000376503",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "R85266",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2598916",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lechanne Renee Ledger, LISW, LCSW,, LICDC
• Joseph Richard Leon, D.M.D.
• Daniel Lesuer
• Izjahana Lewis
• LHCG Ccviii, LLC
• Daniel Lieberman

• Plastic and Reconstructive Surgery Physician in Mayfield Heights, OH
• Providers in Mayfield Heights, OH by specialty
• Plastic and Reconstructive Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.