Individual provider Active NPI

Alzira Bermudez Leques, MD

  • Obstetrics & Gynecology Physician
  • Oxford, OH
National Provider Identifier
1265746655
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35095803 Issued in OH
Practice address
110 N Poplar St
Oxford, OH 45056-1204
Phone
(513) 523-2158
Fax
(513) 523-0019
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35095803 OH Primary

Addresses

Primary practice location

110 N Poplar St
Oxford, OH 45056-1204

Mailing address

110 N Poplar St
Oxford, OH 45056-1204
Phone (513) 523-2158

Other practice location 1

9312 Winton Rd
Cincinnati, OH 45231-3978
Phone (513) 922-0009

Other identifiers 1

IdentifierTypeStateIssuer
3084666MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100921000796 OH Practitioner - Obstetrics/Gynecology 4789709254 Reassigns benefits to 1 organization
I20150218001936 KY Practitioner - Obstetrics/Gynecology 4789709254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

110 N Poplar St
Oxford, OH 45056-1204
Phone (513) 853-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35095803OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Jul 1, 2024 Accepting new patients
McCullough-Hyde Memorial Hospital, Inc. Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

10506 Montgomery Rd
Ste 504
Montgomery, OH 45242
Phone (513) 221-3800

10506 Montgomery Rd
Montgomery, OH 45242
Phone (513) 745-9800

110 N Poplar St
Oxford, OH 45056
Phone (513) 523-2111

5225 Morning Sun Rd
Ste A
Oxford, OH 45056
Phone (513) 523-2158

Interoperability endpoints

  • Direct secure messaging: aleques@shwhc.gwaydirect.com
  • Direct secure messaging: aleques32065@direct.trihealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1265746655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N POPLAR ST",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561204",
            "telephone_number": "513-523-2158",
            "fax_number": "513-523-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N POPLAR ST",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561204",
            "telephone_number": "513-523-2158",
            "fax_number": "513-523-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9312 Winton Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452313978",
            "country_code": "US",
            "telephone_number": "513-922-0009",
            "fax_number": "513-931-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEQUES",
        "first_name": "ALZIRA",
        "middle_name": "BERMUDEZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35095803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084666",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

Verify at the official NPI Registry.