Individual provider Active NPI

Gerard Anthony Leotaud, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1790936029
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006300 Issued in NY
Practice address
274 Lincoln Rd
Brooklyn, NY 11225-3432
Phone
(917) 755-8077
NPI assigned
Oct 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006300 NY Primary

Addresses

Primary practice location

274 Lincoln Rd
Brooklyn, NY 11225-3432

Mailing address

274 Lincoln Rd
Brooklyn, NY 11225-3432
Phone (917) 755-8077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081202000865 NY Practitioner - Podiatry 2264593789 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Doctor'S Medical PCGroup PAC ID 7416005103, 15 clinicians
Physicare Multi Services LTDGroup PAC ID 9032212295, 9 clinicians

Practice addresses (Care Compare)

1715 University Ave
Bronx, NY 10453-6961
Phone (718) 568-0208

2968 Ave X
Brooklyn, NY 11235-1808
Phone (718) 769-4988

3508 Flatlands Ave
Brooklyn, NY 11234-2609
Phone (718) 253-3900

Hospital & facility affiliations

  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions31
Removal of nail tissue111
Removal or shaving of skin growth18
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Footcare, PC Foot & Ankle Surgery CurrentSince Sep 9, 2012 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: gerardleotaud@mai.allscriptsdirect.net

Organizations & group practices 4

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 1

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": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1790936029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 LINCOLN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253432",
            "telephone_number": "917-755-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 LINCOLN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253432",
            "telephone_number": "917-755-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOTAUD",
        "first_name": "GERARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.