Individual provider Active NPI

Robert Gene Leikin, O.D.

  • Optometrist
  • Timonium, MD
National Provider Identifier
1316051808
Registry record updated Nov 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0888 Issued in MD
Practice address
2300 Dulaney Valley Rd
Timonium, MD 21093-2739
Phone
(410) 252-4500
Fax
(410) 560-9675
NPI assigned
Aug 19, 2006
Last updated
Nov 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0888 MD Primary

Addresses

Primary practice location

2300 Dulaney Valley Rd
Timonium, MD 21093-2739

Mailing address

19 Beecham CT
Owings Mills, MD 21117-6001
Phone (410) 654-8602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000360 MD Practitioner - Optometry 1557391836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katzen Medical Associates PCGroup PAC ID 9436051232, 24 clinicians

Practice addresses (Care Compare)

1209 York Rd
Lutherville, MD 21093-6220
Phone (410) 821-9490

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
82.7
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA0888MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Katzen Medical Associates, PC Optometrist CurrentSince Jun 1, 2012 Accepting new patients
Polun Family Footcare P C Past Accepting new patients
Premier Podiatry of Virginia LLC Past Accepting new patients

Locations

301 Saint Paul St
Ste 902
Baltimore, MD 21202
Phone (410) 727-8380

1209 York Rd
Ste 200
Lutherville Timonium, MD 21093
Phone (410) 821-9490

1209 York Rd
Timonium, MD 21093
Phone (410) 821-9490

2300 Dulaney Valley Rd
Timonium, MD 21093
Phone (410) 252-4500

Interoperability endpoints

  • Direct secure messaging: robert.leikin.p1@direct.katzeneye.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353628800000",
    "number": "1316051808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BEECHAM CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211176001",
            "telephone_number": "410-654-8602",
            "fax_number": "410-654-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 DULANEY VALLEY RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932739",
            "telephone_number": "410-252-4500",
            "fax_number": "410-560-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIKIN",
        "first_name": "ROBERT",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.