Individual provider Active NPI

Leah Hope Bayliss, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1396922779
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05645 Issued in TX
Practice address
2018 Ebony LN
Houston, TX 77018-5025
Phone
(832) 922-3839
NPI assigned
Jan 28, 2008
Last updated
May 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05645 TX Primary
Surgical Physician Assistant 363AS0400X PA05645 TX

Addresses

Primary practice location

2018 Ebony LN
Houston, TX 77018-5025

Mailing address

2018 Ebony LN
Houston, TX 77018-5025
Phone (832) 922-3839

Other identifiers 2

IdentifierTypeStateIssuer
8Y8336OtherTXBCBSTX
PA05645OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080530000578 TX Practitioner - Physician Assistant 4880764018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

915 Gessner Rd
Suite 950
Houston, TX 77024-2578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Willaim Pearson, MD Past Accepting new patients
Memorial City Cardiology Associates PA Past Accepting new patients
Traditions Emergency Medicine PA Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1396922779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 EBONY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185025",
            "telephone_number": "832-922-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 EBONY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185025",
            "telephone_number": "832-922-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLISS",
        "first_name": "LEAH",
        "middle_name": "HOPE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05645",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA05645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8Y8336",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA05645",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.