Active NPI
Michelle Elizabeth Leonard Deithloff, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Christus St Vincent Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 243 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 557 |
| Removal or shaving of skin growth | 244 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD401 | NM | MD | Foot & Ankle Surgery Podiatrist |
| 401 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Grande Foot & Ankle Specialists LLC | Podiatrist | Current | Accepting new patients |
| Rio Grande Foot & Ankle Specialists LLC | Foot & Ankle Surgery | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- Taos, NM
- NPI 1750938478
-
- Foot & Ankle Surgery Podiatrist
- Santa Fe, NM
- NPI 1285300673
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.