Individual provider Active NPI

Leona Alice Velicov, DPM

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1710901244
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001964L Issued in PA
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

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0060668000OtherPABLUE SHIELD
007047608-0006MedicaidPA
007047608-0004MedicaidPA
007047608-0005MedicaidPA
007047608-0008MedicaidPA
007047608-0009MedicaidPA

Other names 1

  • Dr. Leona Alice Velicov Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071212000419 PA Practitioner - Podiatry 7416047667 Reassigns benefits to 2 organizations
Practice locations: Philadelphia, PA
I20110609000643 NJ Practitioner - Podiatry 7416047667 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Foot and Ankle Associates, P.C. CurrentSince Aug 1, 2007 Accepting new patients
DRS Tumasz and Lobianco and Associates P.C. CurrentSince Dec 1, 2020 Accepting new patients
Peripheral Vascular Institute of Philadelphia LLC PastSince Aug 1, 2007 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.