Active NPI
Heidi Harrington Deleon, M.D.
- Plastic Surgery Physician
- Okatie, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 92996
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3113933 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 37 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | 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
- 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.
-
dba Beaufort Memorial Emergency Medicine Physicians
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- General Practice Physician
- Beaufort, SC
- NPI 1336180165
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.