Active NPI
Zachary Joe Maranar Leshen, M.D.
- Interventional Cardiology Physician
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 01072811A
- Practice address
- 611 E Douglas Rd
Ste 208
Mishawaka, IN 46545-1464 - Phone
- (574) 335-6700
- Fax
- (574) 335-0726
- NPI assigned
- Aug 13, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 01072811A | IN | Primary |
| Internal Medicine Physician | 207R00000X | ML20008451 | WA | |
| Internal Medicine Physician | 207R00000X | 4301092796 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 01072811A | IN |
Addresses
Primary practice location
611 E Douglas Rd
Ste 208
Mishawaka, IN 46545-1464
Mailing address
707 Cedar St Ste 405
South Bend, IN 46617-2059
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000824567 | Other | IN | BCBS |
| 201180140 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1122 S Ironwood Dr
River Park Family Medicine
South Bend, IN 46615-1618
Phone (574) 335-8399
12563 State Rd
Suite 23
Granger, IN 46530-9226
Phone (574) 335-8300
1919 Lake Ave
Plymouth, IN 46563-7830
3421 Cassopolis St
Suite 200
Elkhart, IN 46514-6774
Phone (574) 335-8180
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
611 E Douglas Rd
Mishawaka, IN 46545-1465
611 E Douglas Rd
Mishawaka, IN 46545-1467
611 E Douglas Rd
309 Infectious Diseases
Mishawaka, IN 46545-1469
Phone (574) 335-6770
616 E 13TH St
Cardiology Winamac
Winamac, IN 46996-1117
Phone (574) 948-5340
Hospital & facility affiliations
- Saint Joseph Regional Medical Center
- Saint Joseph Regional Medical Center - Plymouth
- Memorial Hospital of South Bend
- Unity Physicians Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML20008451 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center, Inc. | Internal Medicine | Current | Accepting new patients |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Internal Medicine | Current | Accepting new patients |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Current | Accepting new patients |
Locations
611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232
611 E Douglas Rd
Ste 208
Mishawaka, IN 46545
Phone (574) 232-5928
510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
2349 Lake Ave
Ste 99
Plymouth, IN 46563
Phone (574) 948-5340
707 Cedar St
Ste 200
South Bend, IN 46617
Phone (574) 237-1328
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
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.
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
Internal Medicine
-
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
Internal Medicine
-
- Hospitalist Physician
- Plymouth, IN
- NPI 1821402876
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1518197011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1285646729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 CEDAR ST STE 405",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E DOUGLAS RD",
"address_2": "STE 208",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451464",
"telephone_number": "574-335-6700",
"fax_number": "574-335-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESHEN",
"first_name": "ZACHARY",
"middle_name": "JOE MARANAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IN",
"license": "01072811A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "ML20008451",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301092796",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01072811A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000824567",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201180140",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.