Nicole Leistikow, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D78832 Issued in MD

Practice address

1501 Sulgrave Ave Ste 202
Baltimore, MD 21209-3650

Phone

(443) 459-1840

NPI assigned

May 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Psychiatry

Education

Johns Hopkins University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nleistikow35919@direct.hopkinsmedicine.org

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.

• Leistikowmd LLC

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
  • NPI 1285213843
  Medicare reassignment NPD Authorized official
• Johns Hopkins University

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment NPD
• University of Maryland Psychiatry Associates, PA

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1649292699
  Medicare reassignment NPD
• Johns Hopkins University

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• Johns Hopkins University

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1891072286
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• University of Maryland Psychiatry Associates PA

  • Child & Adolescent Psychiatry Physician
  • Baltimore, MD
  • NPI 1992712897
  NPD (past)

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1861784118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174104",
            "telephone_number": "443-459-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093650",
            "telephone_number": "443-459-1840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Pratt St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011023",
            "country_code": "US",
            "telephone_number": "410-328-6018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 W Redwood St Ste 580",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011734",
            "country_code": "US",
            "telephone_number": "410-328-5881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEISTIKOW",
        "first_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D78832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Leimkuehler, M.D.
• Leah Irene Leinbach, DMD, MPH
• Alison Leiner, L.AC
• Michele Marie Leisher, LCSW-C
• Della Leister, R.N.
• Leistikowmd LLC
• Guilherme Leite Barboza Goncalves, MD
• Jeffrey Adam Leiter, M.D.
• Nikita Leiter, MD
• Adrianna Leith

• Psychiatry Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.