Active NPI
Stefan W Leichtle, M.D.
- Surgical Critical Care Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 0101259042
- Practice address
- 8260 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4528 - Phone
- (571) 472-4670
- NPI assigned
- Apr 1, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101259042 | VA | |
| Trauma Surgery Physician | 2086S0127X | 0101259042 | VA | |
| Surgical Critical Care Physician | 2086S0102X | 0101259042 | VA | Primary |
Addresses
Primary practice location
8260 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4528
Mailing address
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
Other practice location 1
1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 828-7389
Other practice location 2
417 N 11th St
Richmond, VA 23298-5024
Phone (803) 828-7069
Other practice location 3
11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 360-4669
Other practice location 4
9109 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 775-4500
Other practice location 5
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sleichtle1107736@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Gallows Rd
Falls Church, VA 22042-3307
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 237-3446
Hospital & facility affiliations
- Inova Fairfax Hospital
- Inova Alexandria Hospital
- Uva Health Prince William Medical Center
- Inova Fair Oaks Hospital
- Fauquier Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101259042 | VA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Trauma Surgery | Current | Accepting new patients |
Locations
8260 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (571) 472-4670
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Interoperability endpoints
- sleichtle1107736@soc.inova.org
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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Trauma Surgery
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warrenton, VA
- NPI 1912334517
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1700028172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "703-776-4001",
"fax_number": "703-776-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8260 WILLOW OAKS CORPORATE DR STE 600",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314528",
"telephone_number": "571-472-4670"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985051",
"country_code": "US",
"telephone_number": "804-828-7389",
"fax_number": "804-828-0191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "417 N 11th St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985024",
"country_code": "US",
"telephone_number": "803-828-7069",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11958 W Broad St",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232331007",
"country_code": "US",
"telephone_number": "804-360-4669",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9109 Stony Point Dr",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232351979",
"country_code": "US",
"telephone_number": "804-775-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-4001",
"fax_number": "703-776-7113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEICHTLE",
"first_name": "STEFAN",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-01",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101259042",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "VA",
"license": "0101259042",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "VA",
"license": "0101259042",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sleichtle1107736@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "8260 Willow Oaks Corporate Dr Ste 600",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220314528",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.