Active NPI
Leona Alice Velicov, DPM
- Podiatrist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001964L
- Practice address
- 3445 St Vincent St
Philadelphia, PA 19149-1627 - Phone
- (215) 338-2444
- Fax
- (215) 708-5000
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001964L | PA | Primary |
Addresses
Primary practice location
3445 St Vincent St
Philadelphia, PA 19149-1627
Mailing address
3445 St Vincent St
Philadelphia, PA 19149-1627
Phone (215) 338-2444
Other practice location 1
13 Market Pl Ste 60
New Hope, PA 18938-1059
Phone (215) 862-2084
Other practice location 2
301 Oxford Valley Rd
Yardley, PA 19067-7706
Phone (215) 493-8300
Other practice location 3
1725 Klockner Rd
Trenton, NJ 08619-2711
Phone (609) 586-6700
Other practice location 4
2301 E Allegheny Ave
Philadelphia, PA 19134-4427
Phone (215) 291-2194
Other practice location 5
1304 Rhawn St
Philadelphia, PA 19111-2870
Phone (215) 742-1225
Other practice location 6
3046 Knights Rd
Bensalem, PA 19020-2815
Phone (215) 639-4500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060668000 | Other | PA | BLUE SHIELD |
| 007047608-0006 | Medicaid | PA | |
| 007047608-0004 | Medicaid | PA | |
| 007047608-0005 | Medicaid | PA | |
| 007047608-0008 | Medicaid | PA | |
| 007047608-0009 | Medicaid | PA |
Other names 1
- Dr. Leona Alice Velicov
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Foot and Ankle Associates, P.C. | Current | Accepting new patients | |
| DRS Tumasz and Lobianco and Associates P.C. | Current | Accepting new patients | |
| Peripheral Vascular Institute of Philadelphia LLC | Past | Accepting new patients | |
| Primary Homecare, LLC | Past | Accepting new patients |
Locations
13 Market Pl
Ste 60
New Hope, PA 18938
Phone (215) 862-2084
7261 Revere St
Philadelphia, PA 19149
Phone (215) 338-5450
7257 Revere St
Philadelphia, PA 19149
Phone (215) 338-8600
2808 N 5th Street Hwy
Reading, PA 19605
Phone (610) 266-7644
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1710934377
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1336298124
-
- Vascular-Interventional Technology Radiologic Technologist
- Philadelphia, PA
- NPI 1396074480
-
- Primary Care Nurse Practitioner
- Elkins Park, PA
- NPI 1629023593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1710901244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 ST VINCENT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491627",
"telephone_number": "215-338-2444",
"fax_number": "215-708-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 ST VINCENT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491627",
"telephone_number": "215-338-2444",
"fax_number": "215-708-5000"
}
],
"practiceLocations": [
{
"address_1": "13 Market Pl Ste 60",
"address_purpose": "LOCATION",
"city": "New Hope",
"state": "PA",
"postal_code": "189381059",
"country_code": "US",
"telephone_number": "215-862-2084",
"fax_number": "215-862-5083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Oxford Valley Rd",
"address_purpose": "LOCATION",
"city": "Yardley",
"state": "PA",
"postal_code": "190677706",
"country_code": "US",
"telephone_number": "215-493-8300",
"fax_number": "215-483-3096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1725 Klockner Rd",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "NJ",
"postal_code": "086192711",
"country_code": "US",
"telephone_number": "609-586-6700",
"fax_number": "215-586-8768",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 E Allegheny Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191344427",
"country_code": "US",
"telephone_number": "215-291-2194",
"fax_number": "215-291-0810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1304 Rhawn St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191112870",
"country_code": "US",
"telephone_number": "215-742-1225",
"fax_number": "215-742-3902",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3046 Knights Rd",
"address_purpose": "LOCATION",
"city": "Bensalem",
"state": "PA",
"postal_code": "190202815",
"country_code": "US",
"telephone_number": "215-639-4500",
"fax_number": "215-604-0355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELICOV",
"first_name": "LEONA",
"middle_name": "ALICE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001964L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0060668000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007047608-0006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007047608-0004",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007047608-0005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007047608-0008",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007047608-0009",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEONA",
"last_name": "VELICOV",
"middle_name": "ALICE",
"prefix": "DR.",
"credential": "DPM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.