Individual provider Active NPI

Leisa Marie Melody Grgula, DC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1669471272
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5614 Issued in AZ
Practice address
18261 N Pima Rd Ste 115
Scottsdale, AZ 85255-6232
Phone
(602) 493-2228
Fax
(602) 493-2262
NPI assigned
Jul 15, 2005
Last updated
Apr 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC5614 AZ Primary

Addresses

Primary practice location

18261 N Pima Rd Ste 115
Scottsdale, AZ 85255-6232

Mailing address

18261 N Pima Rd Ste 115
Scottsdale, AZ 85255-6232
Phone (602) 493-2228

Other identifiers 1

IdentifierTypeStateIssuer
AZ0243640OtherAZBXBS

Other names 1

  • Leisa Marie Melody Chrabaszcz Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051101001079 AZ Practitioner - Chiropractic 4688691280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accurate Care Chiropractic and AcupunctureGroup PAC ID 7618103870, 3 clinicians

Practice addresses (Care Compare)

18261 N Pima Rd
Suite 115
Scottsdale, AZ 85255-6232
Phone (602) 493-2228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC5614AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Accurate Care Chiropractic & Acupuncture Chiropractor CurrentSince Jul 30, 2013 Accepting new patients

Locations

20235 N Cave Creek Rd
Ste 110
Phoenix, AZ 85024
Phone (602) 493-2228

18261 N Pima Rd
Ste 115
Scottsdale, AZ 85255
Phone (602) 493-2228

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1669471272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18261 N PIMA RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556232",
            "telephone_number": "602-493-2228",
            "fax_number": "602-493-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18261 N PIMA RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556232",
            "telephone_number": "602-493-2228",
            "fax_number": "602-493-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRGULA",
        "first_name": "LEISA MARIE",
        "middle_name": "MELODY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC5614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "AZ0243640",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEISA MARIE",
            "last_name": "CHRABASZCZ",
            "middle_name": "MELODY",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.