Krystle Aguirre Leacock, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

D0081928 Issued in MD

Practice address

1500 Forest Glen Rd
Silver Spring, MD 20910-1460

Phone

(301) 942-8799

NPI assigned

Apr 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

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 2

Specialty

Anesthesiology

Education

Howard University College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians

Capitol Anesthesia Associates LTDGroup PAC ID 3274848320, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kleacock1144251@direct.trinity-health.org

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.

• Anesthesia Company, LLC

  • Anesthesiology Physician
  • Annapolis, MD
  • NPI 1871548156

  DC

  Medicare reassignment Care Compare group NPD
• Capitol Anesthesia Associates, LTD

  • Anesthesiology Physician
  • Germantown, MD
  • NPI 1194106955

  DC

  Medicare reassignment Care Compare group NPD
• Comfort Sedation LLC

  • Specialist
  • Rockville, MD
  • NPI 1609805407

  DC

  Medicare reassignment NPD
• Holy Cross Anesthesiology Associate PA

  • Anesthesiology Physician
  • Burtonsville, MD
  • NPI 1376501007

  DC

  Medicare reassignment NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  Care Compare affiliation

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1568728533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 UNIVERSITY BLVD W",
            "address_2": "WEST SUITE 104",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021905",
            "telephone_number": "304-237-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FOREST GLEN RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101460",
            "telephone_number": "301-942-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACOCK",
        "first_name": "KRYSTLE",
        "middle_name": "AGUIRRE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0081928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Han Ngoc Le, PHARM. D
• Julianne Thao Le, OTR/L
• Lea Medical Partners, LLC (Lea Medical Therapies)
• Dallas A Lea, M.D.
• Christina Lynn Leach, PHARMD
• Mara League
• Ethan Leaman
• Tierra Lebbie, M. ED
• Zainab Lebbie
• Laura Leblanc

• Anesthesiology Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.