Individual provider Active NPI

Leo Victor Warshauer, M.D.

  • Internal Medicine Physician
  • Wilmington, NC
National Provider Identifier
1366475386
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38236 Issued in NC
Practice address
1403 Audubon Blvd Ste A1
Wilmington, NC 28403-6705
Phone
(910) 395-8001
Fax
(910) 395-8002
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38236 NC Primary

Addresses

Primary practice location

1403 Audubon Blvd Ste A1
Wilmington, NC 28403-6705

Mailing address

1403 Audubon Blvd Ste A1
Wilmington, NC 28403-6705
Phone (910) 395-8001

Other identifiers 1

IdentifierTypeStateIssuer
8985824MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080123000057 NC Practitioner - Internal Medicine 2062593528 Practice locations: Wilmington, NC

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wake Forest University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1403 Audobon Blvd
A1
Wilmington, NC 28403-6705
Phone (910) 395-8001

Hospital & facility affiliations

  • Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38236NCMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: leo.warshauer.1@20840.direct.athenahealth.com
  • Direct secure messaging: lwarshauer1252972@direct.novanthealth.org

Hospital & facility affiliations 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1366475386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 AUDUBON BLVD STE A1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036705",
            "telephone_number": "910-395-8001",
            "fax_number": "910-395-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 AUDUBON BLVD STE A1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036705",
            "telephone_number": "910-395-8001",
            "fax_number": "910-395-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSHAUER",
        "first_name": "LEO",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "38236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8985824",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.