Active NPI
William Robert Leeper, MD
- Surgery Physician
- Baltimore, MD
National Provider Identifier
1285994020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 86823
- Practice address
- 1800 Orleans Street, Sheik Zayed Tower, Suite 6107
Baltimore, MD 21287 - Phone
- (410) 502-3122
- Fax
- (410) 502-3569
- NPI assigned
- May 28, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 86823 | ZZ | Primary |
Addresses
Primary practice location
1800 Orleans Street, Sheik Zayed Tower, Suite 6107
Baltimore, MD 21287
Mailing address
1800 Orleans Street, Sheik Zayed Tower, Suite 6107
Baltimore, MD 21287
Phone (410) 502-3122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86823 | Other | COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO MEMBER NUMBER | |
| D75711 | Other | MD | MARYLAND BOARD OF PHYSICIANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86823 | ZZ | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1285994020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 ORLEANS STREET, SHEIK ZAYED TOWER, SUITE 6107",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "410-502-3122",
"fax_number": "410-502-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 ORLEANS STREET, SHEIK ZAYED TOWER, SUITE 6107",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "410-502-3122",
"fax_number": "410-502-3569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEEPER",
"first_name": "WILLIAM",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-28",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ZZ",
"license": "86823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO MEMBER NUMBER",
"identifier": "86823",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF PHYSICIANS",
"identifier": "D75711",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.