Amy Leib

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD460475 Issued in PA

Practice address

4 Industrial Blvd Ste 200
Paoli, PA 19301-1605

Phone

(610) 647-4161

NPI assigned

May 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Dermatology

Education

Pennsylvania State University College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aesthetic Dermatology Associates PCGroup PAC ID 2466438148, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.23 of 100Reported as group

Quality

100

Promoting interoperability

99

Improvement activities

40

Cost

71.59

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aleib@directaddress.net

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.

• Aesthetic Dermatology Associates, PC

  • Dermatology Physician
  • Media, PA
  • NPI 1003845835

  Dermatology, PA

  Medicare reassignment Care Compare group NPD
• Dermatology LTD

  • Dermatology Physician
  • Media, PA
  • NPI 1477508257

  Dermatology, PA

  Medicare reassignment NPD
• Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350

  PA

  Medicare reassignment NPD
• Aesthetic Dermatology Associates, PC

  • Dermatology Physician
  • Paoli, PA
  • NPI 1588131536

  Dermatology

  NPD
• Tower Health Medical Group

  • Surgery Physician
  • Wyomissing, PA
  • NPI 1831954353
  NPD
• Tower Health Medical Group

  • Obstetrics & Gynecology Physician
  • Wyomissing, PA
  • NPI 1851632236
  NPD

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1831534445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 S NEW MIDDLETOWN RD STE 203",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635255",
            "telephone_number": "610-566-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 INDUSTRIAL BLVD STE 200",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011605",
            "telephone_number": "610-647-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIB",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT203560",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0116026680",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD460475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aleib@directaddress.net",
            "affiliation": "N",
            "address_1": "4 Industrial Blvd Ste 200",
            "city": "Paoli",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193011605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emma Ruth Lawrence
• Tonya Nicole Lawrence, M,D.
• Erin N Leavens
• Garry Leckemby, O.D.
• Jessica Lee
• Nicole Leighton, CRNP
• Karen Leinhauser, PMHNP-BC
• Anna Louise Lemaster
• Rachele Lemon, MSW
• Lenker Dental of Paoli

• All providers in Paoli, PA
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.