Individual provider Active NPI

Laura Mirielle Leonards, MD

  • Vascular & Interventional Radiology Physician
  • Hammond, LA
National Provider Identifier
1518209394
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
312397 Issued in LA
Practice address
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone
(985) 230-1101
NPI assigned
Mar 20, 2013
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X 312397 LA Primary

Addresses

Primary practice location

15790 Paul Vega MD Dr
Hammond, LA 70403-1434

Mailing address

1515 Holcombe Blvd Unit 1471
Houston, TX 77030-4000
Phone (337) 212-9008

Other practice location 1

1521 Sauvage St
New Orleans, LA 70119-3054
Phone (337) 212-9008

Other names 1

  • Laura Mirielle Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20191024000106 LA Practitioner - Interventional Radiology 3375875370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Louisiana State University School of Medicine in New Orleans, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15790 Paul Vega MD Drive Radiology de
North Oaks Medical Center Hospital
Hammond, LA 70403-1434
Phone (985) 230-1683

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.91 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
67.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312397LAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Medical Center, LLC Diagnostic Radiology CurrentSince Sep 6, 2019 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Sep 6, 2019 Accepting new patients

Locations

15770 Paul Vega Md Dr
Ste 108C
Hammond, LA 70403
Phone (985) 230-6790

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15837 Paul Vega Md Dr
Ste 100
Hammond, LA 70403
Phone (985) 230-6790

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1518209394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HOLCOMBE BLVD UNIT 1471",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304000",
            "telephone_number": "337-212-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031434",
            "telephone_number": "985-230-1101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 Sauvage St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701193054",
            "country_code": "US",
            "telephone_number": "337-212-9008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARDS",
        "first_name": "LAURA",
        "middle_name": "MIRIELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "LA",
            "license": "312397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ANDERSON",
            "middle_name": "MIRIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.