Individual provider Active NPI

Sander Leiman, M.D.

  • Cardiovascular Disease Physician
  • Plainview, NY
National Provider Identifier
1457387680
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
179313 Issued in NY
Practice address
789 Old Country Rd
Plainview, NY 11803-4907
Phone
(516) 433-3600
Fax
(516) 433-9490
NPI assigned
Jun 22, 2006
Last updated
Oct 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 179313 NY Primary

Addresses

Primary practice location

789 Old Country Rd
Plainview, NY 11803-4907

Mailing address

4277 Hempstead Tpke
Suite 209
Bethpage, NY 11714-5709
Phone (516) 731-7770

Other identifiers 4

IdentifierTypeStateIssuer
AS726OtherNYOXFORD
01483036MedicaidNY
0C5412OtherNYHEALTHNET
110111684OtherNYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060417000422 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507875770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Icahn School of Medicine at Mount Sinai, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Jul 1, 2012 Accepting new patients
Island Medical Group, PC Cardiovascular Disease Current Accepting new patients
Island Medical Group, PC Cardiovascular Disease Current Accepting new patients
Optum Medical Care, P.C. Cardiovascular Disease CurrentSince Sep 1, 2022 Accepting new patients
Prohealth Care Associates, LLP Past Accepting new patients
Mount Kisco Medical Group Cardiovascular Disease Past Accepting new patients

Locations

4045 Hempstead Tpke
Fl 3
Bethpage, NY 11714
Phone (516) 731-7770

4277 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 731-5100

4277 Hempstead Tpke
Ste 209
Bethpage, NY 11714
Phone (516) 731-3583

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

300 Community Dr
Manhasset, NY 11030

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

789 Old Country Rd
Plainview, NY 11803
Phone (516) 433-3600

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

Philadelphia, PA 19195

Organizations & group practices 7

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1457387680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4277 HEMPSTEAD TPKE",
            "address_2": "SUITE 209",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145709",
            "telephone_number": "516-731-7770",
            "fax_number": "516-731-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034907",
            "telephone_number": "516-433-3600",
            "fax_number": "516-433-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIMAN",
        "first_name": "SANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "179313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "AS726",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01483036",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0C5412",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110111684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.