Active NPI
William Michael Leake, RN
- Certified Registered Nurse Anesthetist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA1045097
- Practice address
- 2617 39TH St NW Apt 1
Washington, DC 20007-1219 - Phone
- (208) 520-3696
- NPI assigned
- Jul 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1045097 | DC | |
| Certified Registered Nurse Anesthetist | 367500000X | RNA1045097 | DC | Primary |
Addresses
Primary practice location
2617 39TH St NW Apt 1
Washington, DC 20007-1219
Mailing address
2617 39TH St NW Apt 1
Washington, DC 20007-1219
Phone (208) 520-3696
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | None |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401
1800 N Beauregard St
Suite 200
Alexandria, VA 22311-1725
Phone (703) 823-3750
3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030
4660 Kenmore Ave
Suite 810
Alexandria, VA 22304-1300
Phone (703) 823-0333
Hospital & facility affiliations
- Medstar Washington Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1045097 | DC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Old Dominion Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750
3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393
1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
DC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
-
- Hospitalist Physician
- Washington, DC
- NPI 1770198301
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1386216976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 39TH ST NW APT 1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200071219",
"telephone_number": "208-520-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 39TH ST NW APT 1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200071219",
"telephone_number": "208-520-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAKE",
"first_name": "WILLIAM",
"middle_name": "MICHAEL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-13",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1045097",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DC",
"license": "RNA1045097",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "None",
"affiliation": "N",
"address_1": "2617 39th St NW Apt 1",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200071219",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.