Individual provider Active NPI

Heidi Harrington Deleon, M.D.

  • Plastic Surgery Physician
  • Okatie, SC
National Provider Identifier
1326241522
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
92996 Issued in SC
Practice address
122 Okatie Center Blvd N Ste 220
Okatie, SC 29909-3782
Phone
(843) 707-8020
NPI assigned
Jun 6, 2007
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD19151 ME
Plastic Surgery Physician 208200000X 16908 NH
Plastic Surgery Physician 208200000X 92996 SC Primary

Addresses

Primary practice location

122 Okatie Center Blvd N Ste 220
Okatie, SC 29909-3782

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 516-4268

Other practice location 1

10 Members Way Ste 303
Dover, NH 03820-5933
Phone (603) 516-4268

Other identifiers 1

IdentifierTypeStateIssuer
3113933MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, SC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150505002573 NH Practitioner - Plastic and Reconstructive Surgery 6204098189 Reassigns benefits to 1 organization
I20250312002738 SC Practitioner - Plastic and Reconstructive Surgery 6204098189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (843) 522-5983

989 Ribaut Rd
Beaufort, SC 29902-5472

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy37
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Aug 30, 2018 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Dec 26, 2024 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Aug 30, 2018 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Dec 26, 2024 Accepting new patients

Locations

10 Members Way
Ste 303
Dover, NH 03820
Phone (603) 516-4256

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

955 Ribaut Rd
#C
Beaufort, SC 29902

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

122 Okatie Center Blvd N
Ste 220
Okatie, SC 29909
Phone (843) 707-8020

Interoperability endpoints

  • Direct secure messaging: heidi.harrington.1@16436.direct.athenahealth.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.

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1326241522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-516-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 OKATIE CENTER BLVD N STE 220",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093782",
            "telephone_number": "843-707-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Members Way Ste 303",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038205933",
            "country_code": "US",
            "telephone_number": "603-516-4268",
            "fax_number": "603-609-6147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELEON",
        "first_name": "HEIDI",
        "middle_name": "HARRINGTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "ME",
            "license": "MD19151",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NH",
            "license": "16908",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "92996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3113933",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.