Leticia Ibarra Peltzer, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101238767 Issued in VA

Practice address

26208 Lee Hwy
Abingdon, VA 24211-7504

Phone

(276) 451-3044

Fax

(276) 451-3045

NPI assigned

Jul 5, 2006

Last updated

Nov 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Otolaryngology

Education

Perelman School of Med at the University of Pennsylvania, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose Throat and Allergy Consultants PCGroup PAC ID 7810121274, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
• Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ear, Nose, Throat & Allergy Consultants, PC

  • Otolaryngology Physician
  • Abingdon, VA
  • NPI 1134564073
  Medicare reassignment Care Compare group NPD Authorized official
• Abingdon Eye Associates, P.C.

  • Plastic Surgery Physician
  • Abingdon, VA
  • NPI 1548297070
  NPD
• Village Chiropractic and Wellness P.L.L.C.

  dba Cornerstone Chiropractic

  • Chiropractor
  • League City, TX
  • NPI 1972750719
  NPD (past)

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

• Johnston Memorial Hospital, Inc

  • General Acute Care Hospital
  • Abingdon, VA
  • NPI 1104812684
  Care Compare affiliation
• Wellmont Health System

  dba Bristol Regional Medical Center

  • General Acute Care Hospital
  • Bristol, TN
  • NPI 1124058615
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1437189149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26208 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117504",
            "telephone_number": "276-451-3044",
            "fax_number": "276-451-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26208 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117504",
            "telephone_number": "276-451-3044",
            "fax_number": "276-451-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTZER",
        "first_name": "LETICIA",
        "middle_name": "IBARRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "MD40247",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101238767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Jeri Payne, DO
• Daryl Wayne Peake, M.D.
• Faith Peck, BCBA
• Nadja Pejovic
• Monika Elizabeth Pelly, M.D.
• Simon P Pennings, MD
• Teresa Pennington, AGPCNP-BC
• People Incorporated of Southwest Virginia
• Alexis Carson Perkins, EDS, NCSP
• Christina Marie Perkins, FNP

• Otolaryngology Physician in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.