Active NPI
Alicia May Leahy
- Anesthesiology Physician
- Honolulu, HI
National Provider Identifier
1629503677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME152639
- Practice address
- 1356 Lusitana St FL 7
Transitional Year Residency Program
Honolulu, HI 96813-2409 - Phone
- (808) 586-7477
- NPI assigned
- Apr 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD28565 | ME | |
| Student in an Organized Health Care Education/Training Program | 390200000X | HI | ||
| Anesthesiology Physician | 207L00000X | ME152639 | FL | Primary |
Addresses
Primary practice location
1356 Lusitana St FL 7
Transitional Year Residency Program
Honolulu, HI 96813-2409
Mailing address
PO Box 100254
Gainesville, FL 32610-0254
Other practice location 1
1600 SW Archer Rd
Gainesville, FL 32610-2409
Phone (352) 273-8610
Other practice location 2
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Texas a & M University System, HSC, College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2526
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME152639 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Spectrum Healthcare Partners, P.a. | Anesthesiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, P.a. | Current | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Portland, ME
- NPI 1245252212
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1629503677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100254",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1356 LUSITANA ST FL 7",
"address_2": "TRANSITIONAL YEAR RESIDENCY PROGRAM",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132409",
"telephone_number": "808-586-7477"
}
],
"practiceLocations": [
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326102409",
"country_code": "US",
"telephone_number": "352-273-8610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22 Bramhall St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041023134",
"country_code": "US",
"telephone_number": "207-662-2526",
"fax_number": "207-662-6236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEAHY",
"first_name": "ALICIA",
"middle_name": "MAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-27",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ME",
"license": "MD28565",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "HI",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME152639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.