Individual provider Active NPI

Leo Verlander Jr., MD

  • Emergency Medicine Physician
  • Shreveport, LA
National Provider Identifier
1578880449
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
205507 Issued in LA
Practice address
1501 Kings Hwy
Department of Family Medicine - Alexandria
Shreveport, LA 71103-4228
Phone
(318) 441-1041
Fax
(318) 484-2225
NPI assigned
Apr 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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
Emergency Medicine Physician 207P00000X 205507 LA Primary

Addresses

Primary practice location

1501 Kings Hwy
Department of Family Medicine - Alexandria
Shreveport, LA 71103-4228

Mailing address

1501 Kings Hwy
Department of Family Medicine - Alexandria
Shreveport, LA 71103-4228
Phone (318) 441-1041

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
I20130213000172 LA Practitioner - Family PracticePractitioner - Emergency Medicine 3971757386 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Tulane University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayfair Emergency Group, LLC 33 clinicians

Practice addresses (Care Compare)

17000 Medical Ctr Dr
Baton Rouge, LA 70816-3246
Phone (225) 752-2470

Hospital & facility affiliations

  • Ochsner Medical Center - Baton Rouge Hospital, Baton Rouge, LA, CCN 190202

Merit-based Incentive Payment System (MIPS)

Final score
99.76 of 100Reported as group
Quality
87.95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205507LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfair Emergency Group, LLC Emergency Medicine CurrentSince Jun 5, 2018 Accepting new patients
Hospital Service District #2 of Lasalle Parish CurrentSince Nov 1, 2012 Accepting new patients
WT University Medical Associates Inc Current Accepting new patients
University of Tennessee Current Accepting new patients
Jena Ess Hospitalist LLC CurrentSince Jan 20, 2015 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Mar 13, 2013 Accepting new patients
Ess Hospitalist LLC CurrentSince May 25, 2013 Accepting new patients
Jena Ess LLC Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
St Martin Emergency Group LLC Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Kenner Emergency Group LLC Emergency Medicine CurrentSince Jan 8, 2017 Accepting new patients
Main Street Emergency Group LLC Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine CurrentSince Jun 22, 2014 Accepting new patients
Emergency Medical Care Facilities PC Emergency Medicine Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

294 Summar Dr
Jackson, TN 38301
Phone (731) 423-1932

Organizations & group practices 13

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 13

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1578880449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE - ALEXANDRIA",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-441-1041",
            "fax_number": "318-484-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE - ALEXANDRIA",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-441-1041",
            "fax_number": "318-484-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERLANDER",
        "first_name": "LEO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "205507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.