Leyte B Asuncion, M.D.
Individual provider Active NPI Family Medicine Physician · Boonville, IN
NPI 1346293370 · NPPES record last updated Dec 16, 2010
Key facts
- NPI
- 1346293370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01028011A (IN)
- Practice address
- 1115 E Main St
Boonville, IN 47601-2415 - Phone
- (812) 897-1365
- Fax
- (812) 987-1022
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100609000938 | IN | Practitioner - Family Practice | 4486784980 | Practice locations: Boonville, IN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01028011A | IN | Yes |
Addresses
Primary practice location
1115 E Main St
Boonville, IN 47601-2415
Mailing address
1115 E Main St
Boonville, IN 47601-2415
Phone (812) 897-1365
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100254140A | Medicaid | IN |
Other providers in Boonville, IN
- Faryaal Aamir
- Laura Helen Alcock
- Syed A Ali
- Alion Healthcare LLC
- Elizabeth Arnold
- Heather R Bailey
- Rajinder D Balasuriya
- Mariah Beadles
- Jennifer M Beckrich
- Sumir Bhateja
All providers in Boonville, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.