Individual provider Active NPI

Lee Michael Hlad, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gahanna, OH
National Provider Identifier
1508175449
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003610 Issued in OH
Practice address
1045 Beecher Xing N Ste a
Gahanna, OH 43230-4573
Phone
(614) 304-0019
Fax
(614) 304-0023
NPI assigned
Sep 27, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003610 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 36003610 OH Primary

Addresses

Primary practice location

1045 Beecher Xing N Ste a
Gahanna, OH 43230-4573

Mailing address

1045 Beecher Xing N
Suite a
Columbus, OH 43230-4573
Phone (614) 478-2111

Other identifiers 1

IdentifierTypeStateIssuer
2790476MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190522001906 GA Practitioner - Podiatry 5799924718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ankle and Foot Assoc LLCGroup PAC ID 1355327107, 20 clinicians
Satilla Foot and Ankle, LLCGroup PAC ID 4284890815, 3 clinicians

Practice addresses (Care Compare)

501 W Oneida St
Waycross, GA 31501-6209
Phone (912) 283-6471

545 Knight Ave
Waycross, GA 31501-3354
Phone (912) 490-3668

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Waycross, GA, CCN 117076
  • Bacon County Hospital Hospital, Alma, GA, CCN 111327
  • Memorial Satilla Health Hospital, Waycross, GA, CCN 110003

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision12
Removal of tissue70
Removal of skin lesions16
Removal of nail tissue240
Removal or shaving of skin growth22
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003610OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle and Foot Associates, LLC Foot & Ankle Surgery CurrentSince Jun 15, 2019 Accepting new patients
Ankle & Foot Associates, LLC Podiatrist CurrentSince Jun 15, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

501 W Oneida St
Waycross, GA 31501
Phone (912) 283-6471

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1508175449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 BEECHER XING N",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432304573",
            "telephone_number": "614-478-2111",
            "fax_number": "614-304-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 BEECHER XING N STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304573",
            "telephone_number": "614-304-0019",
            "fax_number": "614-304-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLAD",
        "first_name": "LEE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003610",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2790476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.