Individual provider Active NPI

Tim Lekic, M.D., PH.D.

  • Neurology Physician
  • La Quinta, CA
National Provider Identifier
1578855151
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD458093 Issued in PA
Practice address
46100 Washington St
La Quinta, CA 92253-2042
Phone
(760) 340-0528
Fax
(760) 674-1590
NPI assigned
May 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01076241A IN
Neurology Physician 2084N0400X MD458093 PA Primary

Addresses

Primary practice location

46100 Washington St
La Quinta, CA 92253-2042

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405

Other practice location 1

11234 Anderson St
Graduate Medical Education Office CSP 21005
Loma Linda, CA 92354-2804
Phone (909) 558-4000 ext. 82966

Other practice location 2

228 Saint Charles Way Ste 200
York, PA 17402-4661
Phone (717) 851-5503

Other practice location 3

1215 N Beaver St
Flagstaff, AZ 86001-3126
Phone (928) 773-2200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tlekic50442@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IN, TX, MO4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20171222000417 CA Practitioner - Neurology 0941580096 Reassigns benefits to 5 organizations
I20231113002215 IN Practitioner - Neurology 0941580096 Reassigns benefits to 1 organization
I20240305001072 TX Practitioner - Neurology 0941580096 Reassigns benefits to 2 organizations
I20241219002931 MO Practitioner - Neurology 0941580096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Loma Linda University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565

Hospital & facility affiliations

  • VHS Harlingen Hospital Company LLC Hospital, Harlingen, TX, CCN 450033

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Feb 19, 2024 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Nuview Health Texas PA Neurology CurrentSince Mar 1, 2024 Accepting new patients
Alameda Health System Current Accepting new patients
Dignity Health Medical Foundation CurrentSince May 18, 2024 Accepting new patients
First Choice Physician Partners Neurology CurrentSince Apr 11, 2023 Accepting new patients
Alameda Health System CurrentSince Nov 18, 2017 Accepting new patients
BHS Physicians Network, Inc CurrentSince Feb 19, 2024 Accepting new patients
Nuview Telehealth, LLC Neurology CurrentSince Dec 13, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Apr 11, 2023 Accepting new patients
Alameda Health System CurrentSince Nov 18, 2017 Accepting new patients
Nuview Health Indiana PC CurrentSince Mar 1, 2024 Accepting new patients
KC Tan, M.D. Medical Corporation CurrentSince Oct 12, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

301 W Huntington Dr
Ste 618
Arcadia, CA 91007
Phone (626) 396-8150

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

15370 Fairfield Ranch Rd
#B2
Chino Hills, CA 91709
Phone (800) 723-6186

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Ste 304
Modesto, CA 95350
Phone (209) 576-3832

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

2624 Edith Ave
Redding, CA 96001
Phone (530) 241-3316

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1578855151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46100 WASHINGTON ST",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532042",
            "telephone_number": "760-340-0528",
            "fax_number": "760-674-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11234 Anderson St",
            "address_2": "Graduate Medical Education Office CSP 21005",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-558-4000 x82966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 Saint Charles Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024661",
            "country_code": "US",
            "telephone_number": "717-851-5503",
            "fax_number": "717-851-5507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 N Beaver St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013126",
            "country_code": "US",
            "telephone_number": "928-773-2200",
            "fax_number": "928-773-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEKIC",
        "first_name": "TIM",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01076241A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD458093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tlekic50442@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "2400 17th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.