Active NPI
Mario Leyba, M.D.
- Surgery Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD2009-0523
- Practice address
- 6701 Jefferson St NE
Albuquerque, NM 87109-4318 - Phone
- (505) 727-6200
- Fax
- (505) 727-9590
- NPI assigned
- Jun 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 76329 | AZ | |
| Surgery Physician | 208600000X | MD2009-0523 | NM | Primary |
Addresses
Primary practice location
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Mailing address
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-6200
Other practice location 1
101 Hospital Loop NE
Suite 111
Albuquerque, NM 87109-2129
Phone (505) 727-7050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68401051 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of New Mexico School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone (505) 727-7800
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 727-8000
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-6200
715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3668
Phone (505) 727-7090
Hospital & facility affiliations
- Lovelace Women'S Hospital
- Lovelace Westside Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 46 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76329 | AZ | MD | Surgery Physician |
| MD2009-0523 | NM | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovelace Health System, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Lovelace Health System LLC | Current | Accepting new patients | |
| Lovelace Health System, LLC | Current | Accepting new patients | |
| San Miguel Clinic Corp | Past | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
10501 Golf Course Rd NW
Albuquerque, NM 87114
Phone (505) 727-2000
601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040
6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600
4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000
6100 Pan American East Fwy NE
Ste 100
Albuquerque, NM 87109
Phone (505) 727-6200
101 Hospital Loop NE
Ste 111
Albuquerque, NM 87109
Phone (505) 228-5952
Interoperability endpoints
- mleyba9115@ahs.direct-ci.com
Organizations & group practices 6
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.
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Clinic/Center
- Santa Fe, NM
- NPI 1245798024
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1164137964
-
- Hematology & Oncology Physician
- Albuquerque, NM
- NPI 1790183135
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Family Medicine Physician
- Las Vegas, NM
- NPI 1114920717
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1689876013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 JEFFERSON ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094318",
"telephone_number": "505-727-6200",
"fax_number": "505-727-9590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 JEFFERSON ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094318",
"telephone_number": "505-727-6200",
"fax_number": "505-727-9590"
}
],
"practiceLocations": [
{
"address_1": "101 Hospital Loop NE",
"address_2": "Suite 111",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871092129",
"country_code": "US",
"telephone_number": "505-727-7050",
"fax_number": "505-727-7055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEYBA",
"first_name": "MARIO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "76329",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "MD2009-0523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68401051",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.