Active NPI
Brian John Leykum, DPM
- Podiatrist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2045
- Practice address
- 6448 E Hwy 290
Suite # D-103
Austin, TX 78723-1068 - Phone
- (512) 452-2100
- Fax
- (512) 452-2106
- NPI assigned
- Jul 17, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1994543 | NY | |
| Podiatrist | 213E00000X | 2045 | TX | Primary |
Addresses
Primary practice location
6448 E Hwy 290
Suite # D-103
Austin, TX 78723-1068
Mailing address
6448 E Hwy 290
Suite # D-103
Austin, TX 78723-1068
Phone (512) 452-2100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318479803 | Medicaid | TX | |
| 318479802 | Medicaid | TX | |
| P01242878 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2034 Sundance Pkwy
New Braunfels, TX 78130-2750
Phone (830) 221-1400
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.82 of 100
- Quality
- 72.99
- Improvement activities
- 40
- Cost
- 75.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 5400 |
| Removal or shaving of skin growth | 1431 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2045 | TX | MD | Behavioral Analyst |
| 0732 | AZ | MD | Acupuncturist |
| 1994543 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Podiatry Group PC | Podiatrist | Current | Accepting new patients |
| Lake Mi Mobile Doctors PC | Podiatrist | Past | Accepting new patients |
| Lake Mi Mobile Doctors P.C. | Podiatrist | Past | Accepting new patients |
Locations
425 Huehl Rd
#13
Northbrook, IL 60062
Phone (847) 504-5007
3706 Adelphi Ln
Austin, TX 78727
Phone (512) 833-9253
2034 Sundance Pkwy
New Braunfels, TX 78130
Phone (732) 744-6293
2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1982962924
Podiatrist
-
- Geriatric Medicine (Internal Medicine) Physician
- San Antonio, TX
- NPI 1134472244
Podiatrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1275797243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6448 E HWY 290",
"address_2": "SUITE # D-103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231068",
"telephone_number": "512-452-2100",
"fax_number": "512-452-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6448 E HWY 290",
"address_2": "SUITE # D-103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231068",
"telephone_number": "512-452-2100",
"fax_number": "512-452-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYKUM",
"first_name": "BRIAN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-17",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "1994543",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "2045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "318479803",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "318479802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01242878",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.