Individual provider Active NPI

Leila Hagshenas, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1487811733
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
253227 Issued in NY
Practice address
729 7TH Ave FL 12
New York, NY 10019-6892
Phone
(212) 930-7300
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A119205 CA
Family Medicine Physician 207Q00000X 036136088 IL
Family Medicine Physician 207Q00000X 253227 NY Primary

Addresses

Primary practice location

729 7TH Ave FL 12
New York, NY 10019-6892

Mailing address

729 7TH Ave FL 12
New York, NY 10019-6892
Phone (212) 930-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091007000134 NY Practitioner - Family Practice 3870639768 Reassigns benefits to 1 organization
I20160509001797 IL Practitioner - Family Practice 3870639768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

729 7TH Ave
New York, NY 10019-6831
Phone (212) 489-1939

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036136088ILMDFamily Medicine Physician
253227NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2024 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Apr 6, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Apr 6, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Family Medicine Past Accepting new patients

Locations

722 W Maxwell St
#235
Chicago, IL 60607
Phone (312) 433-4114

55 W Cermak Rd
Chicago, IL 60616
Phone (312) 326-4472

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

1919 W Taylor St
Chicago, IL 60612
Phone (312) 996-2901

7732 Solution Ctr
Dept 3461
Chicago, IL 60677

729 7th Ave
New York, NY 10019
Phone (212) 221-7300

729 7th Ave
Fl 12
New York, NY 10019
Phone (212) 930-7300

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1487811733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 7TH AVE FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196892",
            "telephone_number": "212-930-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 7TH AVE FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196892",
            "telephone_number": "212-930-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGSHENAS",
        "first_name": "LEILA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A119205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036136088",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "253227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.