Individual provider Active NPI

Nicholas John Leonardy, MD

  • Retina Specialist (Ophthalmology) Physician
  • Toledo, OH
National Provider Identifier
1497721781
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
35062682 Issued in OH
Practice address
2865 N Reynolds Rd
Suite 230
Toledo, OH 43615-2068
Phone
(419) 578-4367
Fax
(419) 537-5639
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 35062682 OH Primary
Ophthalmology Physician 207W00000X 35062682 OH

Addresses

Primary practice location

2865 N Reynolds Rd
Suite 230
Toledo, OH 43615-2068

Mailing address

6591 W Central Ave
Suite 202
Toledo, OH 43617-1087
Phone (419) 517-6599

Other identifiers 4

IdentifierTypeStateIssuer
000000026371OtherOHANTHEM
0852439MedicaidOH
LE0704641OtherPTAN
341196311OtherTAX IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20091021000440 OH Practitioner - Ophthalmology 2466495916 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Aug 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

15840 Medical Dr S
Ste D
Findlay, OH 45840
Phone (419) 424-5915

1005 Bellefontaine Ave
Ste 345
Lima, OH 45804
Phone (419) 224-8223

2865 N Reynolds Rd
Ste 230
Toledo, OH 43615
Phone (419) 578-4367

Organizations & group practices 3

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1497721781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6591 W CENTRAL AVE",
            "address_2": "SUITE 202",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171087",
            "telephone_number": "419-517-6599",
            "fax_number": "419-517-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 N REYNOLDS RD",
            "address_2": "SUITE 230",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152068",
            "telephone_number": "419-578-4367",
            "fax_number": "419-537-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARDY",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "35062682",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35062682",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000026371",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0852439",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "LE0704641",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "341196311",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.