Individual provider Active NPI

Andrew Lee Leinweber, MD

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1376984864
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A153660 Issued in CA
Practice address
1402 S Grand Blvd
FDT 14TH Floor
Saint Louis, MO 63104-1004
Phone
(314) 577-8762
NPI assigned
Jul 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X A153660 CA Primary

Addresses

Primary practice location

1402 S Grand Blvd
FDT 14TH Floor
Saint Louis, MO 63104-1004

Mailing address

2754 Park Ave
Saint Louis, MO 63104-2026
Phone (801) 636-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180205000793 CA Practitioner - Anesthesiology 0648572115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Saint Louis University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians

Practice addresses (Care Compare)

4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4545

Hospital & facility affiliations

  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A153660CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 2, 2018 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 2, 2018 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients

Locations

8135 Saratoga Way
El Dorado Hls, CA 95762
Phone (815) 997-2939

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

5220 Douglas Blvd
Granite Bay, CA 95746
Phone (707) 430-3740

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

8723 Sierra College Blvd
Roseville, CA 95661
Phone (916) 677-5070

3941 J St
Ste 460
Sacramento, CA 95819
Phone (916) 733-6940

8120 Timberlake Way
Ste 103
Sacramento, CA 95823
Phone (916) 681-2350

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

5771 Greenback Ln
Sacramento, CA 95841
Phone (916) 239-2042

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 and National Provider Directory roles.

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1376984864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 PARK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042026",
            "telephone_number": "801-636-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S GRAND BLVD",
            "address_2": "FDT 14TH FLOOR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041004",
            "telephone_number": "314-577-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEINWEBER",
        "first_name": "ANDREW",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A153660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.