Individual provider Active NPI

Michelle Elizabeth Leonard Deithloff, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Santa Fe, NM
National Provider Identifier
1588073290
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD401 Issued in NM
Practice address
404 Brunn School Rd
Santa Fe, NM 87505-1102
Phone
(505) 395-9575
Fax
(877) 540-1253
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD401 NM Primary

Addresses

Primary practice location

404 Brunn School Rd
Santa Fe, NM 87505-1102

Mailing address

PO Box 540610
N Salt Lake, UT 84054-0610
Phone (801) 505-0821

Other practice location 1

1399 Weimer Rd Ste 400
Taos, NM 87571-6348
Phone (575) 214-8521

Other practice location 2

2019 Galisteo St Ste K
Santa Fe, NM 87505-2159
Phone (505) 395-9575

Other names 1

  • Miss Michelle Elizabeth Leonard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20180126000783 NM Practitioner - Podiatry 7214296904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rio Grande Foot and Ankle Specialists LLCGroup PAC ID 3072844661, 2 clinicians

Practice addresses (Care Compare)

1399 Weimer Rd
Suite 400
Taos, NM 87541-6348
Phone (575) 214-8521

404 Brunn School Rd
Santa Fe, NM 87505-1102

Hospital & facility affiliations

  • Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310
  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue243
Removal of skin lesions1-10
Removal of nail tissue557
Removal or shaving of skin growth244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD401NMMDFoot & Ankle Surgery Podiatrist
401NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Foot & Ankle Specialists LLC Podiatrist CurrentSince Sep 1, 2019 Accepting new patients
Rio Grande Foot & Ankle Specialists LLC Foot & Ankle Surgery CurrentSince Sep 1, 2019 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

2019 Galisteo St
Ste K
Santa Fe, NM 87505
Phone (505) 982-0123

2019 Galisteo St
Ste K2
Santa Fe, NM 87505

404 Brunn School Rd
Santa Fe, NM 87505
Phone (505) 298-5995

404 Brunn School Rd
Ste A
Santa Fe, NM 87505
Phone (505) 988-7568

1399 Weimer Rd
Ste 400
Taos, NM 87571
Phone (505) 758-0621

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

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.

Hospital & facility affiliations 3

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1588073290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540610",
            "city": "N SALT LAKE",
            "state": "UT",
            "postal_code": "840540610",
            "telephone_number": "801-505-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BRUNN SCHOOL RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051102",
            "telephone_number": "505-395-9575",
            "fax_number": "877-540-1253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1399 Weimer Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875716348",
            "country_code": "US",
            "telephone_number": "575-214-8521",
            "fax_number": "877-540-1253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2019 Galisteo St Ste K",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875052159",
            "country_code": "US",
            "telephone_number": "505-395-9575",
            "fax_number": "877-540-1253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEITHLOFF",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "POD401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LEONARD",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.