NPIMap

Individual provider Active NPI

Michael A. Leke, MD

  • Vascular Surgery Physician
  • Fayetteville, NC
National Provider Identifier
1386601045
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35.087388 Issued in OH
Practice address
3410 Village Dr Ste 200
Fayetteville, NC 28304-4552
Phone
(910) 401-0202
Fax
(910) 401-0210
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.087388 OH
Vascular Surgery Physician 2086S0129X 35.087388 OH Primary

Addresses

Primary practice location

3410 Village Dr Ste 200
Fayetteville, NC 28304-4552

Mailing address

PO Box 2493
Durham, NC 27715-2493
Phone (919) 544-6318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080123000073 NC Practitioner - Vascular SurgeryPractitioner - General Surgery 5092628560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3410 Village Dr
Suite 200
Fayetteville, NC 28304-4552
Phone (910) 401-0202

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

Merit-based Incentive Payment System (MIPS)

Final score
37.14 of 100Reported as individual
Quality
61.51
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal86
Leg revascularization (restoring blood flow)1-10
Removal of tissue15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.087388OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fayetteville Vascular and Vein Center, PA Surgery CurrentSince Mar 1, 2009 Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Locations

3410 Village Dr
Fayetteville, NC 28304
Phone (910) 401-0202

3410 Village Dr
Ste 200
Fayetteville, NC 28304
Phone (910) 401-0202

Organizations & group practices 2

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1386601045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2493",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277152493",
            "telephone_number": "919-544-6318",
            "fax_number": "919-544-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 VILLAGE DR STE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044552",
            "telephone_number": "910-401-0202",
            "fax_number": "910-401-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKE",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.087388",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.087388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.