Individual provider Active NPI

Marcio Leyser, MD

  • Developmental - Behavioral Pediatrics Physician
  • Iowa City, IA
National Provider Identifier
1811406838
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
SP-0223 Issued in IA
Practice address
100 Hawkins Dr
Iowa City, IA 52242-1016
Phone
(319) 678-8429
Fax
(319) 467-5544
NPI assigned
Sep 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X SP-0223 IA
Developmental - Behavioral Pediatrics Physician 2080P0006X SP-0223 IA Primary

Addresses

Primary practice location

100 Hawkins Dr
Iowa City, IA 52242-1016

Mailing address

100 Hawkins Dr
Iowa City, IA 52242-1016
Phone (319) 678-8429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250226000725 FL Practitioner - Pediatric Medicine 2769748490 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP-0223IAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Pediatrics CurrentSince Feb 10, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Feb 10, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Pediatrics Current Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

6271 Saint Augustine Rd
Ste B
Jacksonville, FL 32217

Interoperability endpoints

  • Direct secure messaging: mleyser766891@direct.shands.ufl.edu
  • Direct secure messaging: mleyser125992@uihcdirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811406838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421016",
            "telephone_number": "319-678-8429",
            "fax_number": "319-467-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421016",
            "telephone_number": "319-678-8429",
            "fax_number": "319-467-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYSER",
        "first_name": "MARCIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "SP-0223",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "IA",
            "license": "SP-0223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.