Individual provider Active NPI

Andrew Leitzke, D.C.

  • Chiropractor
  • Middletown, DE
National Provider Identifier
1194859959
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F10000484 Issued in DE
Practice address
102 Sleepy Hollow Dr
Suite 200
Middletown, DE 19709-5841
Phone
(302) 449-1555
Fax
(302) 449-2908
NPI assigned
Mar 15, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F10000484 DE Primary

Addresses

Primary practice location

102 Sleepy Hollow Dr
Suite 200
Middletown, DE 19709-5841

Mailing address

102 Sleepy Hollow Dr
Suite 200
Middletown, DE 19709-5841
Phone (302) 449-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000422 DE Practitioner - Chiropractic 7214943703 Practice locations: Middletown, DE

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

114 Sandhill Dr
Suite 101
Middletown, DE 19709-5805
Phone (302) 367-8765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Wave Healthcare LLC Current Accepting new patients
L Squared Health Care LLC Chiropractor Current Accepting new patients
Delaware Spine Center Past Accepting new patients
Advanced Medical Physicians LLC Chiropractor PastSince Aug 23, 2018 Accepting new patients
Sheehan Chiropractic LTD Chiropractor Past Accepting new patients
Pro Chiropractic & Rehabilitation LLC Chiropractor Past Accepting new patients
Atlas Chiropractor Middletown Chiropractor PastSince Sep 14, 2005 Accepting new patients
Middletown Familycare Associates LLC PastSince Jun 1, 1999 Accepting new patients

Organizations & group practices 9

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194859959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SLEEPY HOLLOW DR",
            "address_2": "SUITE 200",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095841",
            "telephone_number": "302-449-1555",
            "fax_number": "302-449-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SLEEPY HOLLOW DR",
            "address_2": "SUITE 200",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095841",
            "telephone_number": "302-449-1555",
            "fax_number": "302-449-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITZKE",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F10000484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.