Individual provider Active NPI

Leo Levon Elgatian, D.C.

  • Chiropractor
  • Muscatine, IA
National Provider Identifier
1598743528
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A5523 Issued in IA
Practice address
2209 2ND Ave
Muscatine, IA 52761-5258
Phone
(563) 264-8825
Fax
(563) 264-0869
NPI assigned
Jan 9, 2006
Last updated
Apr 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A5523 IA Primary

Addresses

Primary practice location

2209 2ND Ave
Muscatine, IA 52761-5258

Mailing address

2209 2ND Ave
Muscatine, IA 52761-5258
Phone (563) 264-8825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000327 IA Practitioner - Chiropractic 4183689367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muscatine Chiropractic Center PCGroup PAC ID 8820190192, 2 clinicians

Practice addresses (Care Compare)

2209 2ND Ave
Muscatine, IA 52761-5258
Phone (563) 264-8825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A5523IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Muscatine Chiropractic Center PC Chiropractor CurrentSince Sep 6, 2006 Accepting new patients

Locations

2209 2nd Ave
Muscatine, IA 52761
Phone (563) 264-8825

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1598743528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 2ND AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615258",
            "telephone_number": "563-264-8825",
            "fax_number": "563-264-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 2ND AVE",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527615258",
            "telephone_number": "563-264-8825",
            "fax_number": "563-264-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGATIAN",
        "first_name": "LEO",
        "middle_name": "LEVON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A5523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.