Individual provider Active NPI

Leyda Gisselle Sanchez Ortiz, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Guaynabo, PR
National Provider Identifier
1306002415
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
18054 Issued in PR
Practice address
100 Carr 165 Ste 308
Guaynabo, PR 00968-8050
Phone
(787) 365-6959
NPI assigned
Jul 29, 2008
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 25MA10259000 NJ
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 33078 NE
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD61219871 WA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 18054 PR Primary

Addresses

Primary practice location

100 Carr 165 Ste 308
Guaynabo, PR 00968-8050

Mailing address

PO Box 10076
San Juan, PR 00922-0076
Phone (787) 365-6959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NE, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180313000337 NJ Practitioner - Neurology 8224332291
I20210212000877 NE Practitioner - Neurology 8224332291 Reassigns benefits to 1 organization
I20220208001227 WA Practitioner - NeurologyPractitioner - Psychiatry 8224332291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians

Practice addresses (Care Compare)

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5072

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1000

1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33078NEMDNeurology with Special Qualifications in Child Neurology Physician
25MA10259000NJMDNeurology with Special Qualifications in Child Neurology Physician
18054PRMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Neuroepi LLC Neurology With Special Qualifications in Child Neurology CurrentSince Sep 1, 2019 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Jan 1, 2022 Accepting new patients
King County Public Hospital District No 2 CurrentSince Jan 1, 2022 Accepting new patients
Nebraska Methodist Hospital CurrentSince Feb 15, 2021 Accepting new patients
Overlake Medical Clinics, LLC Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Overlake Medical Clinics LLC CurrentSince Dec 16, 2024 Accepting new patients
King County Public Hospital District No 2 Past Accepting new patients

Locations

707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

8303 Dodge St
Ste LL6
Omaha, NE 68114
Phone (402) 354-4104

100 Carr 165
Ste 308
Guaynabo, PR 00968
Phone (787) 365-6959

9 Ave Las Cumbres
Ste 12
Guaynabo, PR 00969
Phone (939) 414-2466

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1135 116th Ave NE
Ste 500
Bellevue, WA 98004
Phone (425) 454-3938

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#105
Kirkland, WA 98034
Phone (425) 899-2560

Organizations & group practices 8

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 3

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1306002415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220076",
            "telephone_number": "787-365-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARR 165 STE 308",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688050",
            "telephone_number": "787-365-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ ORTIZ",
        "first_name": "LEYDA",
        "middle_name": "GISSELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA10259000",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NE",
            "license": "33078",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "WA",
            "license": "MD61219871",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PR",
            "license": "18054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.