NPIMap

Individual provider Active NPI

Leena Pande, MD

  • Diagnostic Radiology Physician
  • Gulfport, MS
National Provider Identifier
1811229057
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23934 Issued in MS
Practice address
14231 Seaway Rd Ste 5003
Gulfport, MS 39503-4660
Phone
(228) 864-4392
Fax
(228) 868-7103
NPI assigned
Feb 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X P5866 TX
Diagnostic Radiology Physician 2085R0202X 23934 MS Primary

Addresses

Primary practice location

14231 Seaway Rd Ste 5003
Gulfport, MS 39503-4660

Mailing address

PO Box 1330
Gulfport, MS 39502-1330
Phone (228) 864-4392

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150829000199 MS Practitioner - Diagnostic Radiology 6901029933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tulane University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMB Radiology P aGroup PAC ID 9234136060, 22 clinicians

Practice addresses (Care Compare)

14231 Seaway Rd
Suite 5003
Gulfport, MS 39503-4660
Phone (228) 864-4392

14245 Dedeaux Rd
Gulfport, MS 39503-3369
Phone (228) 314-7226

150 Reynoir St
Biloxi, MS 39530-4130
Phone (228) 432-1571

15012 Lemoyne Blvd
Biloxi, MS 39532-5205
Phone (228) 392-1773

15200 Community Rd
Gulfport, MS 39503-3085
Phone (228) 575-7500

1720 A Medical Park Dr
Suite 110
Biloxi, MS 39532-2122
Phone (228) 392-1224

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000

3101 Denny Ave
Suite 300
Pascagoula, MS 39581-5307
Phone (228) 471-1410

3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1111

3200 Mallett Rd
Suite E2
Diberville, MS 39540-9305
Phone (228) 314-7226

3535 Bienville Blvd
Ocean Springs, MS 39564-5705
Phone (228) 217-1788

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-4000

7001 Hwy 614
Hurley, MS 39555-0614
Phone (228) 588-6622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SMB Radiology P a Diagnostic Radiology CurrentSince Aug 1, 2015 Accepting new patients
Lakeland Radiologists P a Diagnostic Radiology Past Accepting new patients

Locations

14231 Seaway Rd
Ste 5003
Gulfport, MS 39503
Phone (228) 864-4392

4320 15th St
#A
Gulfport, MS 39501
Phone (228) 864-4392

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

Interoperability endpoints

  • Direct secure messaging: lpande@direct.mhg.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1811229057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021330",
            "telephone_number": "228-864-4392",
            "fax_number": "228-868-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 SEAWAY RD STE 5003",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034660",
            "telephone_number": "228-864-4392",
            "fax_number": "228-868-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDE",
        "first_name": "LEENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "P5866",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "23934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.