Active NPI
Yannek Isaac Leiderman, M.D., PH.D.
- Ophthalmology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 235488
- Practice address
- 1855 W Taylor St # Mc648
Uic Dept of Ophthalmology and Visual Sciences
Chicago, IL 60612-7242 - Phone
- (312) 413-4999
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 235488 | MA | Primary |
| Ophthalmology Physician | 207W00000X | 224712 | MA |
Addresses
Primary practice location
1855 W Taylor St # Mc648
Uic Dept of Ophthalmology and Visual Sciences
Chicago, IL 60612-7242
Mailing address
1855 W Taylor St # Mc648
Uic Dept of Ophthalmology and Visual Sciences
Chicago, IL 60612-7242
Phone (312) 413-4999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30209380 | Medicaid | NH | |
| 1962590232 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- George Washington University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Duke Medicine Cir
Durham, NC 27710-3810
Phone (919) 684-8111
Hospital & facility affiliations
- Duke University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224712 | MA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Ophthalmology | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
1855 W Taylor St
#648
Chicago, IL 60612
Phone (312) 996-6582
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2351 Erwin Rd
Durham, NC 27705
Phone (919) 282-0053
Interoperability endpoints
- yleiderman593203@direct.medicine.duke.edu
Organizations & group practices 4
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Ophthalmology Physician
- Chicago, IL
- NPI 1720208135
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1164586616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 W TAYLOR ST # MC648",
"address_2": "UIC DEPT OF OPHTHALMOLOGY AND VISUAL SCIENCES",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127242",
"telephone_number": "312-413-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W TAYLOR ST # MC648",
"address_2": "UIC DEPT OF OPHTHALMOLOGY AND VISUAL SCIENCES",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127242",
"telephone_number": "312-413-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIDERMAN",
"first_name": "YANNEK",
"middle_name": "ISAAC",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "235488",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "224712",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30209380",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1962590232",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.