Organization Active NPI

Leelhan, P.C.

  • Cardiovascular Disease Physician
  • Lancaster, MA
National Provider Identifier
1306357884
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
234329 Issued in MA
Legal business name
LEELHAN, P.C.
Practice address
1675 Main St
Lancaster, MA 01523-2405
Phone
(978) 706-1492
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Daniela J Capriles-Diaz, MDNPI 1104000884
Title
President
Phone
(617) 519-9908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 234329 MA Primary

Addresses

Primary practice location

1675 Main St
Lancaster, MA 01523-2405

Mailing address

588 Boston Post Rd Ste 127
Weston, MA 02493-1535
Phone (617) 519-9908

Other identifiers 1

IdentifierTypeStateIssuer
234329OtherMAMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171228001314 MA Part B Supplier - Clinic/Group Practice 5294093092 Receives reassigned benefits from 2 practitioners
Practice locations: Concord, MA

National Provider Directory

National Provider Directory

Locations

131 Ornac
Ste 560
Concord, MA 01742
Phone (978) 274-7577

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1306357884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 BOSTON POST RD STE 127",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931535",
            "telephone_number": "617-519-9908",
            "fax_number": "161-751-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 MAIN ST",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015232405",
            "telephone_number": "978-706-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEELHAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CAPRILES-DIAZ",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-519-9908",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "234329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "234329",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.