Active NPI
Jef Leber, MD
- Pediatrics Physician
- Phoenix, AZ
National Provider Identifier
1689654261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 22445
- Practice address
- 16635 N 43Rd Ave
Phoenix, AZ 85053-2707 - Phone
- (602) 843-7900
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 22445 | AZ | Primary |
Addresses
Primary practice location
16635 N 43Rd Ave
Phoenix, AZ 85053-2707
Mailing address
25500 N Norterra Dr
Phoenix, AZ 85085-8200
Phone (623) 277-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172411 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22445 | AZ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1689654261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25500 N NORTERRA DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850858200",
"telephone_number": "623-277-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16635 N 43RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850532707",
"telephone_number": "602-843-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBER",
"first_name": "JEF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "22445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172411",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.