Individual provider Active NPI

Bruni Leka, DPM

  • Primary Podiatric Medicine Podiatrist
  • Philadelphia, PA
National Provider Identifier
1689014425
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC006479 Issued in PA
Practice address
11410 Bustleton Ave
Philadelphia, PA 19116-2809
Phone
(215) 698-6133
Fax
(215) 698-6144
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006479 PA
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X SC006479 PA Primary

Addresses

Primary practice location

11410 Bustleton Ave
Philadelphia, PA 19116-2809

Mailing address

11410 Bustleton Ave
Philadelphia, PA 19116-2809
Phone (215) 698-6133

Other identifiers 1

IdentifierTypeStateIssuer
1710335476OtherPANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drleka@direct.practicefusion.com

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
I20160811000636 PA Practitioner - PodiatryPractitioner - Sports Medicine 8224322433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Sports Medicine
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11410 Bustleton Ave
Philadelphia, PA 19116-2809
Phone (215) 698-6133

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions12
Removal of nail tissue958
Removal or shaving of skin growth899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alba Home Care LLC Current Accepting new patients
Foot and Ankle Excellence, Inc Single Specialty CurrentSince Jul 1, 2016 Accepting new patients

Locations

11410 Bustleton Ave
Philadelphia, PA 19116
Phone (215) 240-6007

Interoperability endpoints

  • Direct secure messaging: drleka@direct.practicefusion.com

Organizations & group practices 2

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1689014425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162809",
            "telephone_number": "215-698-6133",
            "fax_number": "215-698-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162809",
            "telephone_number": "215-698-6133",
            "fax_number": "215-698-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKA",
        "first_name": "BRUNI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006479",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC006479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710335476",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drleka@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "11410 Bustleton Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191162809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.