Individual provider Active NPI

Michael W Leathers, M.D.

  • Orthopaedic Surgery Physician
  • Sacramento, CA
National Provider Identifier
1386635332
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G36832 Issued in CA
Practice address
2801 K St
Suite 330
Sacramento, CA 95816-5120
Phone
(916) 733-5049
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G36832 CA Primary
Orthopaedic Hand Surgery Physician 207XS0106X G36832 CA
Surgery of the Hand (Surgery) Physician 2086S0105X G36832 CA

Addresses

Primary practice location

2801 K St
Suite 330
Sacramento, CA 95816-5120

Mailing address

2801 K St Ste 330
Sacramento, CA 95816-5119
Phone (916) 733-5030

Other names 1

  • Dr. Michael W Leathers Professional name

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
I20100717000101 CA Practitioner - Orthopedic Surgery 8022140631 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Davis School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 K St
Sacramento, CA 95816-5118
Phone (916) 733-5049

2801 K St
Suite 330
Sacramento, CA 95816-5119

2801 K St
Suite 330
Sacramento, CA 95816-5122

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Rancho Cordova, CA, CCN 057631
  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement22
Knee replacement40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G36832CAMDSurgery of the Hand (Surgery) Physician

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1386635332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 K ST STE 330",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165119",
            "telephone_number": "916-733-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 K ST",
            "address_2": "SUITE 330",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165120",
            "telephone_number": "916-733-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERS",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G36832",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G36832",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "G36832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "LEATHERS",
            "middle_name": "W",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.