Individual provider Active NPI

Davi Ponte de Sa Leitao, M.D.

  • Rheumatology Physician
  • Kalamazoo, MI
National Provider Identifier
1407084064
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301104436 Issued in MI
Practice address
501 S Drake Rd
Kalamazoo, MI 49009-3234
Phone
(269) 308-7001
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 4301104436 MI Primary

Addresses

Primary practice location

501 S Drake Rd
Kalamazoo, MI 49009-3234

Mailing address

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009-3016
Phone (267) 751-9346

Other practice location 1

2889 S 11th St
Kalamazoo, MI 49009-2123
Phone (269) 343-1247

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140708002347 MI Practitioner - RheumatologyPractitioner - Internal Medicine 9133344070 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

601 John St
Suite 030
Kalamazoo, MI 49007-5341
Phone (269) 343-3939

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital CurrentSince May 1, 2023 Accepting new patients
Bronson Methodist Hospital CurrentSince May 1, 2023 Accepting new patients
Ascension Medical Group Promed Rheumatology CurrentSince Jun 23, 2014 Accepting new patients
Promed Healthcare CurrentSince Jun 23, 2014 Accepting new patients
Bronson Battle Creek Hospital Rheumatology CurrentSince May 1, 2023 Accepting new patients
Ascension Medical Group Promed Current Accepting new patients

Locations

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

363 Fremont St
Ste 208
Battle Creek, MI 49017
Phone (269) 245-8310

5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009
Phone (269) 552-2836

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

501 S Drake Rd
Kalamazoo, MI 49009
Phone (269) 308-7001

2889 S 11th St
Kalamazoo, MI 49009
Phone (269) 343-1247

601 John St
Ste M-030
Kalamazoo, MI 49007
Phone (269) 343-3939

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 6

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 6

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1407084064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "address_2": "STE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016",
            "telephone_number": "267-751-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093234",
            "telephone_number": "269-308-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2889 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490092123",
            "country_code": "US",
            "telephone_number": "269-343-1247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONTE DE SA LEITAO",
        "first_name": "DAVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301104436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.