Individual provider Active NPI

Michael R Leeman, M.D.

  • Pediatric Anesthesiology Physician
  • Sacramento, CA
National Provider Identifier
1295820413
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
A100531 Issued in CA
Practice address
2315 Stockton Blvd
Dept of Anesthesiology & Pain Medicine,Suite 1200, PSSB
Sacramento, CA 95817
Phone
(916) 734-5048
Fax
(916) 734-7980
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 230272 MA
Pediatric Anesthesiology Physician 207LP3000X A100531 CA Primary

Addresses

Primary practice location

2315 Stockton Blvd
Dept of Anesthesiology & Pain Medicine,Suite 1200, PSSB
Sacramento, CA 95817

Mailing address

4601 Blackrock Dr
Apt 427
Sacramento, CA 95835-2208
Phone (617) 636-6044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121108000064 MA Practitioner - AnesthesiologyPractitioner - Pain Management 0143300590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230272MAMDAnesthesiology Physician
A100531CAMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc CurrentSince Sep 10, 2012 Accepting new patients
General Hospital Corp Current Accepting new patients
The General Hospital Corporation CurrentSince Sep 10, 2012 Accepting new patients
The Shriners' Hospital for Children CurrentSince Jul 11, 2020 Accepting new patients
The Shriners' Hospital for Children Anesthesiology CurrentSince Jul 11, 2020 Accepting new patients
The Shriners' Hospital for Children Current Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

516 Carew St
Springfield, MA 01104
Phone (413) 787-2000

Interoperability endpoints

  • Direct secure messaging: leeman.michael.mgh@direct.partners.masshiway.net

Organizations & group practices 6

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.

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1295820413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BLACKROCK DR",
            "address_2": "APT 427",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352208",
            "telephone_number": "617-636-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "address_2": "DEPT OF ANESTHESIOLOGY & PAIN MEDICINE,SUITE 1200, PSSB",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95817",
            "telephone_number": "916-734-5048",
            "fax_number": "916-734-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEMAN",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "230272",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CA",
            "license": "A100531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.