Individual provider Active NPI

Sherry Withiam Leitch, MD

  • Neurology Physician
  • N Tonawanda, NY
National Provider Identifier
1659341956
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
202583-1 Issued in NY
Practice address
415 Tremont St
N Tonawanda, NY 14120-6135
Phone
(716) 689-1901
Fax
(716) 689-2238
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 202583-1 NY Primary

Addresses

Primary practice location

415 Tremont St
N Tonawanda, NY 14120-6135

Mailing address

415 Tremont St
N Tonawanda, NY 14120-6135
Phone (716) 689-1901

Other identifiers 1

IdentifierTypeStateIssuer
01686915MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050822000233 NY Practitioner - Neurology 2466482203 Practice locations: North Tonawanda, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202583-1NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurology, Inc. Neurology Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659341956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TREMONT ST",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141206135",
            "telephone_number": "716-689-1901",
            "fax_number": "716-689-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 TREMONT ST",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141206135",
            "telephone_number": "716-689-1901",
            "fax_number": "716-689-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHIAM LEITCH",
        "first_name": "SHERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "202583-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01686915",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.