Individual provider Active NPI

Domenico Leuci, MD

  • Obstetrics & Gynecology Physician
  • Johnson City, NY
National Provider Identifier
1851352058
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
232736 Issued in NY
Practice address
365 Harry L Dr Ste 110
Johnson City, NY 13790-1471
Phone
(607) 729-5805
Fax
(607) 729-7714
NPI assigned
Mar 29, 2006
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 232736 NY Primary

Addresses

Primary practice location

365 Harry L Dr Ste 110
Johnson City, NY 13790-1471

Mailing address

365 Harry L Dr
Ste 110
Johnson City, NY 13790-1471
Phone (607) 754-9870

Other identifiers 3

IdentifierTypeStateIssuer
02630697MedicaidNY
10087636OtherNYCDPHP
4127900OtherNYMVP

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000628 NY Practitioner - Obstetrics/Gynecology 1658344965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Binghamton Obstetrics and Gynecology,PLLCGroup PAC ID 6800933870, 3 clinicians

Practice addresses (Care Compare)

365 Harry L Dr
Suite 110
Johnson City, NY 13790-1471
Phone (607) 729-5805

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Binghamton Obstetrics and Gynecology,PLLC Obstetrics & Gynecology CurrentSince May 26, 2009 Accepting new patients
United Health Services Hospitals, Inc. Past Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Past Accepting new patients
Obstetrical-Gynecological Associates of the Southern Tier, P.C. Obstetrics & Gynecology Past Accepting new patients

Locations

365 Harry L Dr
Ste 110
Johnson City, NY 13790
Phone (607) 729-5805

Interoperability endpoints

  • Direct secure messaging: domenico.leuci@greaterbinghamtonobgyn.chartmakerdirect.com
  • FHIR API: https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/

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

Hospital & facility affiliations 2

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1851352058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 HARRY L DR",
            "address_2": "STE 110",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901471",
            "telephone_number": "607-754-9870",
            "fax_number": "607-785-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 HARRY L DR STE 110",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901471",
            "telephone_number": "607-729-5805",
            "fax_number": "607-729-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUCI",
        "first_name": "DOMENICO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "232736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02630697",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10087636",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4127900",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.