Individual provider Active NPI

Laura Ledvora, MD

  • Psychiatry Physician
  • Palos Heights, IL
National Provider Identifier
1427554682
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.172665 Issued in IL
Practice address
7808 W College Dr Ste 2W
Palos Heights, IL 60463-1098
Phone
(708) 361-5110
Fax
(708) 361-5305
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.146902 OH
Psychiatry Physician 2084P0800X 35.146902 OH
Psychiatry Physician 2084P0800X 01094758A IN
Psychiatry Physician 2084P0800X 036.172665 IL Primary

Addresses

Primary practice location

7808 W College Dr Ste 2W
Palos Heights, IL 60463-1098

Mailing address

8531 Myrtlewood Ave
Cincinnati, OH 45236-1919
Phone (630) 222-1989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250228003291 IL Practitioner - Psychiatry 4486901659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Wisconsin, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beth Ledvora MD SCGroup PAC ID 4587898754, 7 clinicians

Practice addresses (Care Compare)

7808 W College Dr
Suite 2
Palos Heights, IL 60463-1027
Phone (708) 361-5110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.172665ILMDPsychiatry Physician
01094758AINMDPsychiatry Physician
35.146902OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Ledvora M.D. S.C. Psychiatry CurrentSince Dec 26, 2024 Accepting new patients

Locations

7808 W College Dr
Ste 2
Palos Heights, IL 60463
Phone (708) 361-5110

7808 W College Dr
Ste 2W
Palos Heights, IL 60463
Phone (708) 361-5110

Interoperability endpoints

  • Direct secure messaging: laura.ledvora.1@15558.direct.athenahealth.com
  • Direct secure messaging: lledvora2389664@direct.bsmhealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1427554682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8531 MYRTLEWOOD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361919",
            "telephone_number": "630-222-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 W COLLEGE DR STE 2W",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631098",
            "telephone_number": "708-361-5110",
            "fax_number": "708-361-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDVORA",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.146902",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.146902",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01094758A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.172665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.