Individual provider Active NPI

Efren L Leonida, M.D.

  • Family Medicine Physician
  • Mt Pleasant, PA
National Provider Identifier
1659477057
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
034778L Issued in PA
Practice address
One Braddock Ave
Suite a
Mt Pleasant, PA 15666
Phone
(724) 547-4565
Fax
(724) 547-5811
NPI assigned
Sep 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 034778L PA Primary

Addresses

Primary practice location

One Braddock Ave
Suite a
Mt Pleasant, PA 15666

Mailing address

One Braddock Ave
Suite a
Mt Pleasant, PA 15666
Phone (724) 547-4565

Other identifiers 7

IdentifierTypeStateIssuer
0094320OtherPAKEYSTONE HEALTH PLAN WEST
094320OtherPAHIGHMARK
1004398OtherPAGATEWAY HEALTH PLAN
0005893540003MedicaidPA
60472OtherPAUNISON HEALTH PLAN
474504OtherPAAETNA
0360813OtherPAUMWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040524001141 PA Practitioner - Family Practice 5991796245 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034778LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Efren Leonida MD LLC Family Medicine CurrentSince Mar 20, 2012 Accepting new patients

Locations

1 Braddock Road Ave
Ste A
Mt Pleasant, PA 15666
Phone (724) 547-4565

Interoperability endpoints

  • Direct secure messaging: efrenlleonida@leonidafamilypractice.ssdirect.aprima.com

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659477057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BRADDOCK AVE",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "15666",
            "telephone_number": "724-547-4565",
            "fax_number": "724-547-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BRADDOCK AVE",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "15666",
            "telephone_number": "724-547-4565",
            "fax_number": "724-547-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONIDA",
        "first_name": "EFREN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "034778L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN WEST",
            "identifier": "0094320",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "094320",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1004398",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005893540003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "60472",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "474504",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0360813",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.