NPIMap

Individual provider Active NPI

Nicholas Leaver

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1306138722
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
13886 Issued in NV
Practice address
400 W 128TH St Apt 53a
New York, NY 10027-2858
Phone
(646) 409-7579
NPI assigned
May 3, 2011
Last updated
May 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 13886 NV Primary

Addresses

Primary practice location

400 W 128TH St Apt 53a
New York, NY 10027-2858

Mailing address

400 W 128TH St Apt 53a
New York, NY 10027-2858
Phone (646) 409-7579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110729000075 NV Practitioner - Emergency Medicine 2365610789 Reassigns benefits to 1 organization
I20240627000424 CO Practitioner - Emergency Medicine 2365610789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
JS Weill Medical College, Cornell University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1024 S Lemay Ave
Poudre Valley Hospital
Fort Collins, CO 80524-3929
Phone (970) 495-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.04 of 100Reported as group
Quality
87.35
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of the Rockies, PC Emergency Medicine CurrentSince Jun 15, 2024 Accepting new patients
Emergency Physicians of the Rockies, PC Emergency Medicine CurrentSince Jun 15, 2024 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine Current Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

102 E Lake Mead Pkwy
#P
Henderson, NV 89015
Phone (702) 616-4692

3001 Saint Rose Pkwy
Henderson, NV 89052
Phone (702) 615-5000

4980 W Sahara Ave
Ste 100
Las Vegas, NV 89146
Phone (702) 216-7365

8280 W Warm Springs Rd
#P
Las Vegas, NV 89113
Phone (702) 492-8592

Organizations & group practices 5

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 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1306138722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 128TH ST APT 53A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272858",
            "telephone_number": "646-409-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 128TH ST APT 53A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272858",
            "telephone_number": "646-409-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVER",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "13886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.