NPIMap

Individual provider Active NPI

Jeffrey S Leider, MD

  • Otolaryngology Physician
  • Farmington, MI
National Provider Identifier
1548259641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301053044 Issued in MI
Practice address
24001 Orchard Lake Rd
Suite 170
Farmington, MI 48336-2555
Phone
(248) 615-4368
Fax
(248) 615-4342
NPI assigned
Oct 20, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301053044 MI Primary

Addresses

Primary practice location

24001 Orchard Lake Rd
Suite 170
Farmington, MI 48336-2555

Mailing address

24001 Orchard Lake Rd
Suite 170
Farmington, MI 48336-2555
Phone (248) 615-4368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KY, OH, PA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070116000372 MI Practitioner - Otolaryngology 5698776714 Reassigns benefits to 1 organization
I20120315000761 KY Practitioner - Otolaryngology 5698776714 Reassigns benefits to 1 organization
I20141008001978 OH Practitioner - Otolaryngology 5698776714 Reassigns benefits to 1 organization
I20141121000922 PA Practitioner - Otolaryngology 5698776714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24001 Orchard Lake Rd
Suite 170
Farmington, MI 48336-2513
Phone (248) 615-4368

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Onsight Health Care LLC CurrentSince Sep 16, 2014 Accepting new patients
Jeffrey Leider MD PLLC CurrentSince Jan 1, 2012 Accepting new patients
Jeffrey S. Leider, MD,PC Otolaryngology CurrentSince Oct 30, 2006 Accepting new patients
Onsight Health Care LLC CurrentSince Sep 16, 2014 Accepting new patients
Mobile Medical Inc Current Accepting new patients
Jeffrey Leider MD PLLC CurrentSince Jan 1, 2012 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients
Onsight Health Care, LLC Past Accepting new patients
Onsight, Inc. Past Accepting new patients
Onhealthcare, LLC Past Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

2303 Hurstbourne Village Dr
Ste 500
Louisville, KY 40299
Phone (859) 721-0554

2300 Genoa Business Park Dr
Ste 130
Brighton, MI 48114
Phone (810) 225-2205

601 Abbott Rd
East Lansing, MI 48823
Phone 24852821166

135 Merchant St
Ste 270
Cincinnati, OH 45246
Phone (513) 771-7483

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

110 Polaris Pkwy
Ste 220
Westerville, OH 43082
Phone (614) 895-7280

32 S Bethlehem Pike
Ambler, PA 19002
Phone (215) 646-7050

303 Smallacombe Dr
Scranton, PA 18508
Phone (412) 508-8708

Interoperability endpoints

  • Direct secure messaging: jeffrey.leider.p10@direct.360care.nextgenshare.com
  • Direct secure messaging: jeffrey.leider.p16@direct.360care.nextgenshare.com
  • Direct secure messaging: jeffrey.leider.p19@direct.360care.nextgenshare.com
  • Direct secure messaging: jeffrey.leider@360care.directbygreenway.com

Organizations & group practices 11

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 11

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548259641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24001 ORCHARD LAKE RD",
            "address_2": "SUITE 170",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483362555",
            "telephone_number": "248-615-4368",
            "fax_number": "248-615-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24001 ORCHARD LAKE RD",
            "address_2": "SUITE 170",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483362555",
            "telephone_number": "248-615-4368",
            "fax_number": "248-615-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIDER",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301053044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.