Individual provider Active NPI

Peter Leopold, D.O.

  • Nephrology Physician
  • Bullhead City, AZ
National Provider Identifier
1740283423
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
3500 Issued in AZ
Practice address
2580 Highway 95 Ste 224
Bullhead City, AZ 86442-7332
Phone
(928) 704-7011
Fax
(928) 704-7014
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 3500 AZ Primary

Addresses

Primary practice location

2580 Highway 95 Ste 224
Bullhead City, AZ 86442-7332

Mailing address

3333 E Camelback Rd
Suite 180
Phoenix, AZ 85018-2322
Phone (602) 997-0484

Other identifiers 1

IdentifierTypeStateIssuer
642159MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804000390 AZ Practitioner - Nephrology 1951372820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

451 S Calvary Way
Cottonwood, AZ 86326-4169
Phone (928) 649-7997

Hospital & facility affiliations

  • DaVita Hopi Dialysis Center Dialysis facility, Polacca, AZ, CCN 032592
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
67.68
Promoting interoperability
100
Improvement activities
40
Cost
76.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3500AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC Nephrology CurrentSince Jul 15, 2002 Accepting new patients
Akdhc, LLC Nephrology CurrentSince Jul 15, 2002 Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc, LLC Nephrology Current Accepting new patients
Akdhc Surgery Center, LLC Nephrology Current Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine PastSince Nov 1, 2008 Accepting new patients
Northwest Tucson Dialysis LLC Past Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients
Evac LLC Nephrology Past Accepting new patients

Locations (25 of 73)

525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498

213 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 233-1330

2771 Silver Creek Rd
Bullhead City, AZ 86442
Phone (928) 704-0222

2771 Silver Creek Rd
Ste 100
Bullhead City, AZ 86442
Phone (928) 704-7011

2771 Silver Creek Rd
Ste 120
Bullhead City, AZ 86442
Phone (928) 763-7722

1225 Hancock Rd
Ste 203
Bullhead City, AZ 86442
Phone (928) 763-1200

2580 Highway 95
Ste 224
Bullhead City, AZ 86442
Phone (928) 704-7011

2121 E Pecos Rd
Ste 1
Chandler, AZ 85225
Phone (480) 846-0607

1120 S Dobson Rd
Ste 115
Chandler, AZ 85286
Phone (480) 857-2381

451 S Calvary Way
Cottonwood, AZ 86326
Phone (928) 649-7997

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

77 W Forest Ave
Ste 302
Flagstaff, AZ 86001
Phone (928) 213-9460

2201 N Vickey St
Ste 110
Flagstaff, AZ 86004
Phone (928) 213-9460

16838 E Palisades Blvd
Bldg C
Fountain Hills, AZ 85268
Phone (480) 816-3131

13620 N Saguaro Blvd
Ste 90
Fountain Hills, AZ 85268
Phone (480) 473-7800

18699 N 67th Ave
Ste 280
Glendale, AZ 85308
Phone (623) 240-4277

5750 W Thunderbird Rd
Ste G790
Glendale, AZ 85306
Phone (602) 395-3354

6622 N 91st Ave
Ste 200
Glendale, AZ 85305
Phone (623) 547-4668

6622 N 91st Ave
Ste 220
Glendale, AZ 85305
Phone (602) 759-6883

6622 N 91st Ave
Ste 100
Glendale, AZ 85305
Phone (623) 547-4668

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

1401 W Florida St
Holbrook, AZ 86025
Phone (928) 251-0386

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

1851 Mesquite Ave
Ste 216
Lk Havasu Cty, AZ 86403
Phone (928) 854-5358

Interoperability endpoints

  • Direct secure messaging: peter.leopold.1@11625.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1740283423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD",
            "address_2": "SUITE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182322",
            "telephone_number": "602-997-0484",
            "fax_number": "602-224-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 HIGHWAY 95 STE 224",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427332",
            "telephone_number": "928-704-7011",
            "fax_number": "928-704-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOPOLD",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "3500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "642159",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.