Individual provider Active NPI

Scott M Leeds, MD

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1598738734
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A79005 Issued in CA
Practice address
415 N Crescent Drive
Beverly Hills, CA 90210
Phone
(310) 777-0159
Fax
(310) 777-0160
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A79005 CA Primary

Addresses

Primary practice location

415 N Crescent Drive
Beverly Hills, CA 90210

Mailing address

415 N Crescent Dr Ste 225
Beverly Hills, CA 90210-6809
Phone (818) 850-0183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090512000193 CA Practitioner - Internal Medicine 0648328138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9400 Brighton Way
Suite 305
Beverly Hills, CA 90210-4710
Phone (310) 777-0159

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79005CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott M. Leeds, MD, a Medical Corporation CurrentSince Mar 2, 2009 Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

415 N Crescent Dr
Ste 225
Beverly Hills, CA 90210
Phone (310) 247-8282

9400 Brighton Way
Ste 305
Beverly Hills, CA 90210
Phone (310) 271-7686

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1598738734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR STE 225",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106809",
            "telephone_number": "818-850-0183",
            "fax_number": "310-777-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DRIVE",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-777-0159",
            "fax_number": "310-777-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDS",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.