Individual provider Active NPI

Ralph Eli Leblanc, M.D.

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1699826875
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0025411 Issued in MD
Practice address
726 Light St
Baltimore, MD 21230-3850
Phone
(410) 528-1400
Fax
(410) 528-1407
NPI assigned
Jan 15, 2007
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0025411 MD Primary

Addresses

Primary practice location

726 Light St
Baltimore, MD 21230-3850

Mailing address

726 Light St
Baltimore, MD 21230-3850
Phone (304) 813-8332

Other identifiers 1

IdentifierTypeStateIssuer
312421500MedicaidMD

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

LicenseStateTypeSpecialty
D0025411MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Federal Hill Pediatric Center Current Accepting new patients
Federal Hill Medical Center CurrentSince Jan 28, 2024 Accepting new patients

Locations

726 Light St
Baltimore, MD 21230
Phone (410) 528-1400

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, 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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1699826875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 LIGHT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303850",
            "telephone_number": "304-813-8332",
            "fax_number": "443-869-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 LIGHT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303850",
            "telephone_number": "410-528-1400",
            "fax_number": "410-528-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "RALPH",
        "middle_name": "ELI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0025411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312421500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.