Individual provider Active NPI

Heather Leeb, D.P.M.

  • Podiatrist
  • Mineola, NY
National Provider Identifier
1548675846
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006875 Issued in NY
Practice address
155 Mineola Blvd
Mineola, NY 11501-3920
Phone
(516) 741-3338
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 006875 NY
Foot Surgery Podiatrist 213ES0131X 006875 NY
Podiatrist 213E00000X 006875 NY Primary

Addresses

Primary practice location

155 Mineola Blvd
Mineola, NY 11501-3920

Mailing address

155 Mineola Blvd
Mineola, NY 11501-3920

Other practice location 1

423 E 23rd St
New York, NY 10010-5011
Phone (212) 686-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170926001763 NY Practitioner - Podiatry 9931473238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Country Foot Care Podiatry PLLCGroup PAC ID 1254634223, 6 clinicians

Practice addresses (Care Compare)

655 E Montauk Hwy
Suite 23
East Patchogue, NY 11772-3154
Phone (516) 741-3338

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue59
Removal of skin lesions1-10
Removal of nail tissue939
Removal or shaving of skin growth686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006875NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Country Foot Care Podiatry PLLC CurrentSince Jul 22, 2017 Accepting new patients
Country Foot Care Podiatry PLLC CurrentSince Jul 22, 2017 Accepting new patients
Mineola Foot Care, PC Podiatrist Past Accepting new patients

Locations

655 E Montauk Hwy
Ste 23
East Patchogue, NY 11772
Phone (516) 741-3338

155 Mineola Blvd
Ste B
Mineola, NY 11501
Phone (516) 741-3338

479 Willis Ave
Williston Pk, NY 11596
Phone (516) 294-8877

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: hleeb307895@nyumc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1548675846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MINEOLA BLVD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013920",
            "telephone_number": "516-741-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 E 23rd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100105011",
            "country_code": "US",
            "telephone_number": "212-686-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEB",
        "first_name": "HEATHER",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "006875",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006875",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.